L200 Webinars Claim Examples Needed

To provide suppliers with in-depth insight into LCD requirements via claim examples and real life scenarios, Noridian will begin hosting policy specific L200 webinars.

Fax claim examples to 701-433-5957

Attention:
Provider Outreach and Education
L200 Claim Example ____ Specialty

Standard Documentation Requirements Policy Article (A55426)

Ad for the Standard Documentation Requirements Policy Article

 

Attend a Webinar
Suspend or Not Enforce Various LCD Requirements

On April 6, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment (CMS-1744-IFC) instructing the DME MACs to suspend or not enforce various requirements found in local coverage determinations and related policy articles. On May 8, 2020, CMS published CMS-5531-IFC extending non-enforcement of the clinical indications for coverage to therapeutic continuous glucose monitors (CGMs). These changes are effective for claims with dates of service on or after March 1, 2020 and for the duration of the COVID-19 Public Health Emergency (PHE). Please see the full details in the Joint DME MAC Article titled CMS Issues Interim Final Rules with Comment (CMS-1744- IFC & CMS-5531-IFC) - COVID-19 Public Health Emergency.

Active LCDs

In the table below, select an "LCD Title" link to view the locally hosted LCD PDF. To access the official LCD version, visit the CMS Medicare Coverage Database (MCD).

CMS Medicare Coverage Database

X
 
LCD Title LCD ID Number and Effective Date Policy Article and Effective Date HCPCS
Ankle-Foot/Knee-Ankle-Foot Orthosis L33686

Effective
01/01/20
A52457

Effective
02/01/21
A4467, A9283, A9285 L1900, L1902, L1904, L1906, L1907, L1910, L1920, L1930, L1932, L1940, L1945, L1950, L1951, L1960, L1970, L1971, L1980, L1990, L2000, L2005, L2006, L2010, L2020, L2030, L2034, L2035, L2036, L2037, L2038, L2106, L2108, L2112, L2114, L2116, L2126, L2128, L2132, L2134, L2136, L2180, L2182, L2184, L2186, L2188, L2190, L2192, L2200, L2210, L2220, L2230, L2232, L2240, L2250, L2260, L2265, L2270, L2275, L2280, L2300, L2310, L2320, L2330, L2335, L2340, L2350, L2360, L2370, L2375, L2380, L2385, L2387, L2390, L2395, L2397, L2405, L2415, L2425, L2430, L2492, L2500, L2510, L2520, L2525, L2526, L2530, L2540, L2550, L2750, L2755, L2760, L2768, L2780, L2785, L2795, L2800, L2810, L2820, L2830, L2840, L2850, L2999, L4002, L4010, L4020, L4030, L4040, L4045, L4050, L4055, L4060, L4070, L4080, L4090, L4100, L4110, L4130, L4205, L4210, L4350, L4360, L4361, L4370, L4386, L4387, L4392, L4394, L4396, L4397, L4398, L4631
Automatic External Defibrillators L33690

Effective
01/01/20
A52458

Effective
10/01/22
A9999, E0617, K0606, K0607, K0608, K0609
Bowel Management Devices L36267

Effective
10/01/21
A54516

Effective
10/01/21
A4335, A4337, A4453, A4553, A4458, A4459, A4520, A4554, A9270, E0275, E0276, E0350, E0352
Canes and Crutches L33733

Effective
01/01/20
A52459

Effective
01/01/20
A4635, A4636, A4637, A9270, E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118,
E0153
Cervical Traction Devices L33823

Effective
01/01/20
A52476

Effective
01/01/20
E0840, E0849, E0850, E0855, E0856, E0860
Cold Therapy L33735

Effective
01/01/20
A52460

Effective
01/01/20
A9270, A9273, E0218
Commodes L33736

Effective
01/01/20
A52461

Effective
01/01/20
E0163, E0165, E0167, E0168, E0170, E0171, E0172, E0175, E0244
Enteral Nutrition L38955
Effective
01/01/23
A58833
Effective
01/01/23
A5200, A9270, B4034, B4035, B4036, B4081, B4082, B4083, B4087, B4088, B4100, B4102, B4103, B4104, B4105, B4149, B4150, B4152, B4153, B4154, B4155, B4157, B4158, B4159, B4160, B4161, B4162, B9002, B9998, E0776
External Breast Prostheses L33317

Effective
01/01/20
A52478

Effective
01/01/20
A4280, L8000, L8001, L8002, L8010, L8015, L8020, L8030, L8031, L8032, L8033, L8035, L8039
External Infusion Pumps L33794

Effective
01/01/23
A52507

Effective
01/01/23
A4221, A4222, A4223, A4224, A4225, A4226, A4305, A4306, A4602, A9270, A9274, E0776, E0779, E0780, E0781, E0784, E0787, E0791, E1399, J0133, J0285, J0287, J0288, J0289, J0895, J1170, J1250, J1265, J1325, J1455, J1457, J1551, J1555, J1558, J1559, J1561, J1562, J1569, J1570, J1574, J1575, J1817, J2175, J2260, J2270, J2271, J2274, J2275, J2278, J3010, J3285, J7340, J7799, J9000, J9039, J9040, J9065, J9100, J9190, J9200, J9360, J9370, K0455, K0552, K0601, K0602, K0603, K0604, K0605
Eye Prostheses L33737

Effective
01/01/20
A52462

Effective
01/01/20
L9900, V2623, V2624, V2625, V2626, V2627, V2628, V2629
Facial Prostheses L33738

Effective
01/01/20
A52463

Effective
01/01/20
A4364, A4450, A4452, A4455, A4456, A5120, L8040, L8041, L8042, L8043, L8044, L8045, L8046, L8047, L8048, L8049, V2623, V2629
Glucose Monitors L33822

Effective
04/16/23
A52464

Effective
04/16/23
A4233, A4234, A4235, A4236, A4238, A4239, A4244, A4245, A4246, A4247, A4250, A4253, A4255, A4256, A4257, A4258, A4259, A9275, A9276, A9277, A9278, E0607, E0620, E2100, E2101, E2102, E2103
Heating Pads and Heat Lamps L33784

Effective
01/01/20
A52502

Effective
01/01/20
A9273, A9999, E0200, E0205, E0210, E0215, E0217, E0225, E0236, E0239, E0249, E1399
High Frequency Chest Wall Oscillation Devices L33785

Effective
10/01/22
A52494

Effective
10/01/22
A7025, A7026, E0483
Hospital Beds and Accessories L33820

Effective
01/01/20
A52508

Effective
01/01/20
E0250, E0251, E0255, E0256, E0260, E0261, E0265, E0266, E0271, E0272, E0273, E0274, E0280, E0290, E0291, E0292, E0293, E0294, E0295, E0296, E0297, E0301, E0302, E0303, E0304, E0305, E0310, E0315, E0316, E0328, E0329, E0910, E0911, E0912, E0940, E1399
Immunosuppressive Drugs L33824

Effective
01/01/20
A52474

Effective
01/01/23
J0485, J2920, J2930, J7500, J7501, J7502, J7503, J7504, J7505, J7507, J7508, J7509, J7510, J7511, J7512, J7513, J7515, J7516, J7517, J7518, J7520, J7525, J7527, J7599, J8530, J8610, Q0510, Q0511, Q0512
Infrared Heating Pad Systems L33825

Effective
01/01/20
A52477

Effective
01/01/20
A4639, E0221
Intrapulmonary Percussive Ventilation System L33786

Effective
01/01/20
A52495

Effective
01/01/20
E0481
Intravenous Immune Globulin L33610

Effective
01/01/23
A52509

Effective
01/01/23
A4223, J1459, J1554, J1557, J1561, J1566, J1568, J1569, J1572, J1573, J1599, J2791
Knee Orthoses L33318

Effective
01/01/20
A52465

Effective
02/01/21
A4467, A9270, K0672, L1810, L1812, L1820, L1830, L1831, L1832, L1833, L1834, L1836, L1840, L1843, L1844, L1845, L1846, L1847, L1848, L1850, L1851, L1852 L1860, L2275, L2320, L2330, L2385, L2390, L2395, L2397, L2405, L2415, L2425, L2430, L2492, L2750, L2755, L2780, L2785, L2795, L2800, L2810, L2820, L2830, L2999, L4002, L4205, L4210, L9900
Lower Limb Prostheses L33787

Effective
01/01/20
A52496

Effective
03/21/23
L5000, L5010, L5020, L5050, L5060, L5100, L5105, L5150, L5160, L5200, L5210, L5220, L5230, L5250, L5270, L5280, L5301, L5312, L5321, L5331, L5341, L5400, L5410, L5420, L5430, L5450, L5460, L5500, L5505, L5510, L5520, L5530, L5535, L5540, L5560, L5570, L5580, L5585, L5590, L5595, L5600, L5610, L5611, L5613, L5614, L5616, L5617, L5618, L5620, L5622, L5624, L5626, L5628, L5629, L5630, L5631, L5632, L5634, L5636, L5637, L5638, L5639, L5640, L5642, L5643, L5644, L5645, L5646, L5647, L5648, L5649, L5650, L5651, L5652, L5653, L5654, L5655, L5656, L5658, L5661, L5665, L5666, L5668, L5670, L5671, L5672, L5673, L5676, L5677, L5678, L5679, L5680, L5681, L5682, L5683, L5684, L5685, L5686, L5688, L5690, L5692, L5694, L5695, L5696, L5697, L5698, L5699, L5700, L5701, L5702, L5703, L5704, L5705, L5706, L5707, L5710, L5711, L5712, L5714, L5716, L5718, L5722, L5724, L5726, L5728, L5780, L5781, L5782, L5785, L5790, L5795, L5810, L5811, L5812, L5814, L5816, L5818, L5822, L5824, L5826, L5828, L5830, L5840, L5845, L5848, L5850, L5855, L5856, L5857, L5858, L5859, L5910, L5920, L5925, L5930, L5940, L5950, L5960, L5961, L5962, L5964, L5966, L5968, L5969, L5970, L5971, L5972, L5973, L5974, L5975, L5976, L5978, L5979, L5980, L5981, L5982, L5984, L5985, L5986, L5987, L5988, L5990, L5999, L7367, L7368, L7510, L7520, L7600, L7700, L8400, L8410, L8417, L8420, L8430, L8440, L8460, L8470, L8480
Manual Wheelchair Bases L33788

Effective
01/01/20
A52497

Effective
01/01/20
E1037, E1038, E1039, E1161, E1229, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0008, K0009
Mechanical In-exsufflation Devices L33795

Effective
01/01/20
A52510

Effective
10/01/22
A7020, E0482
Nebulizers L33370

Effective
01/01/23
A52466

Effective
01/01/23
A4216, A4217, A4218, A4619, A7003, A7004, A7005, A7006, A7007, A7008, A7009, A7010, A7012, A7013, A7014, A7015, A7016, A7017, A7525, E0565, E0570, E0572, E0574, E0575, E0585, E0580, E1372, G0333, J2545, J7604, J7605, J7606, J7607, J7608, J7609, J7610, J7611, J7612, J7613, J7614, J7615, J7620, J7622, J7624, J7626, J7627, J7628, J7629, J7631, J7632, J7634, J7635, J7636, J7637, J7638, J7639, J7640, J7641, J7642, J7643, J7644, J7645, J7647, J7650, J7657, J7660, J7667, J7669, J7670, J7676, J7677, J7680, J7681, J7682, J7683, J7684, J7685, J7686, J7699, K0730, L5969, Q0513, Q0514, Q4074
Negative Pressure Wound Therapy Pumps L33821

Effective
05/01/21
A52511

Effective
08/15/21
A6550, A7000, E2402
Oral Anticancer Drugs L33826

Effective
01/01/20
A52479

Effective
10/01/22
A9270, J8498, J8597, J8999, Q0511, Q0512, Busulfan, Capecitabine, Cyclophosphamide, Etoposide, Fludarabine phosphate, Melphalan, Methotrexate, Temozolomide, Topotecan
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) L33827

Effective
01/01/20
A52480

Effective
10/01/22
J8501, J8540, J8650, J8655, J8670, Q0161, Q0162, Q0163, Q0164, Q0166, Q0167, Q0169, Q0173, Q0174, Q0175, Q0177, Q0180, Q0181, Q0511, Q0512
Oral Appliances for Obstructive Sleep Apnea L33611

Effective
08/08/21
A52512

Effective
08/08/21
A9270, E0485, E0486, E1399
Orthopedic Footwear L33641

Effective
01/01/20
A52481

Effective
01/01/20
A9283, L3000, L3001, L3002, L3003, L3010, L3020, L3030, L3031, L3040, L3050, L3060, L3070, L3080, L3090, L3100, L3140, L3150, L3160, L3170, L3201, L3202, L3203, L3204, L3206, L3207, L3208, L3209, L3211, L3212, L3213, L3214, L3215, L3216, L3217, L3219, L3221, L3222, L3224, L3225, L3230, L3250, L3251, L3252, L3253, L3254, L3255, L3257, L3260, L3265, L3300, L3310, L3320, L3330, L3332, L3334, L3340, L3350, L3360, L3370, L3380, L3390, L3400, L3410, L3420, L3430, L3440, L3450, L3455, L3460, L3465, L3470, L3480, L3485, L3500, L3510, L3520, L3530, L3540, L3550, L3560, L3570, L3580, L3590, L3595, L3600, L3610 ,L3620, L3630, L3640, L3649
Osteogenesis Stimulators L33796

Effective
01/01/20
A52513

Effective
01/01/23
A4559, E0747, E0748, E0760
Ostomy Supplies L33828

Effective
01/01/22
A52487

Effective
01/01/22
A4331, A4357, A4361, A4362, A4363, A4364, A4366, A4367, A4368, A4369, A4371, A4372, A4373, A4375, A4376, A4377, A4378, A4379, A4380, A4381, A4382, A4383, A4384, A4385, A4387, A4388, A4389, A4390, A4391, A4392, A4393, A4394, A4395, A4396, A4398, A4399, A4402, A4404, A4405, A4406, A4407, A4408, A4409, A4410, A4411, A4412, A4413, A4414, A4415, A4416, A4417, A4418, A4419, A4420, A4421, A4422, A4423, A4424, A4425, A4426, A4427, A4428, A4429, A4430, A4431, A4432, A4433, A4434, A4435, A4436, A4437, A4450, A4452, A4455, A4456, A5051, A5052, A5053, A5054, A5055, A5056, A5057, A5061, A5062, A5063, A5071, A5072, A5073, A5081, A5082, A5083, A5093, A5102, A5120, A5121, A5122, A5126, A5131, A6216, A9270
Oxygen and Oxygen Equipment L33797

Effective
01/01/23
A52514

Effective
01/01/23
A4575, A4606, A4608, A4615, A4616, A4617, A4619, A4620, A7525, A9900, E0424, E0425, E0430, E0431, E0433, E0434, E0435, E0439, E0440, E0441, E0442, E0443, E0444, E0445, E0446, E0455, E0555, E0580, E1352, E1353, E1354, E1355, E1356, E1357, E1358, E1390, E1391, E1392, E1405, E1406, K0738
Parenteral Nutrition L38953

Effective
01/01/22
A58836

Effective
01/01/23
B4164, B4168, B4172, B4176, B4178, B4180, B4185, B4187, B4189, B4193, B4197, B4199, B4216, B4220, B4222, B4224, B5000, B5100, B5200, B9004, B9006, B9999, E0776
Patient Lifts L33799

Effective
01/01/20
A52516

Effective
01/01/20
E0621, E0625, E0630, E0635, E0636, E0639, E0640, E1035, E1036
Pneumatic Compression Devices L33829

Effective
01/01/20
A52488

Effective
01/01/23
E0650, E0651, E0652, E0655, E0656, E0657, E0660, E0665, E0666, E0667, E0668, E0669, E0670, E0671, E0672, E0673, E0676
Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea L33718

Effective
09/27/21
A52467

Effective
08/08/21
A4604, A7027, A7028, A7029, A7030, A7031, A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, A7044, A7045, A7046, E0470, E0471, E0561, E0562, E0601
Power Mobility Devices L33789

Effective
01/01/20
A52498

Effective
01/01/20
E0983, E0984, E0986, K0013, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0890, K0891, K0898, K0899
Pressure Reducing Support Surfaces - Group 1 L33830

Effective
05/01/21
A52489

Effective
05/01/21
A4640, A9270, E0181, E0182, E0184, E0185, E0186, E0187, E0188, E0189, E0196, E0197, E0198, E0199, E1399
Pressure Reducing Support Surfaces - Group 2 L33642

Effective
05/01/21
A52490

Effective
01/01/20
E0193, E0277, E0371, E0372, E0373, E1399
Pressure Reducing Support Surfaces - Group 3 L33692

Effective
05/01/21
A52468

Effective
01/01/20
E0194
Refractive Lenses L33793

Effective
10/01/20
A52499

Effective
10/01/20
V2020, V2025, V2100, V2101, V2102, V2103, V2104, V2105, V2106, V2107, V2108, V2109, V2110, V2111, V2112, V2113, V2114, V2115, V2118, V2121, V2199, V2200, V2201, V2202, V2203, V2204, V2205, V2206, V2207, V2208, V2209, V2210, V2211, V2212, V2213, V2214, V2215, V2218, V2219, V2220, V2221, V2299, V2300, V2301, V2302, V2303, V2304, V2305, V2306, V2307, V2308, V2309, V2310, V2311, V2312, V2313, V2314, V2315, V2318, V2319, V2320, V2321, V2399, V2410, V2430, V2499, V2500, V2501, V2502, V2503, V2510, V2511, V2512, V2513, V2520, V2521, V2522, V2523, V2524, V2530, V2531, V2599, V2600, V2610, V2615, V2700, V2702, V2710, V2715, V2718, V2730, V2744, V2745, V2750, V2755, V2756, V2760, V2761, V2762, V2770, V2780, V2781, V2782, V2783, V2784, V2786, V2797, V2799
Respiratory Assist Devices L33800

Effective
08/08/21
A52517

Effective
08/08/21
A4604, A7027, A7028, A7029, A7030, A7031, A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, A7044, A7045, A7046, E0561, E0562, E0470, E0471
Seat Lift Mechanisms L33801

Effective
01/01/20
A52518

Effective
01/01/23
E0172, E0627, E0629
Speech Generating Devices L33739

Effective
01/01/20
A52469

Effective
01/01/20
E2500, E2502, E2504, E2506, E2508, E2510, E2511, E2512, E2599
Spinal Orthoses: TLSO and LSO L33790

Effective
01/01/20
A52500

Effective
07/07/22
A4467, A9270, L0450, L0452, L0454, L0455, L0456, L0457, L0458, L0460, L0462, L0464, L0466, L0467, L0468, L0469, L0470, L0472, L0480, L0482, L0484, L0486, L0488, L0490, L0491, L0492, L0621, L0622, L0623, L0624, L0625, L0626, L0627, L0628, L0629, L0630, L0631, L0632, L0633, L0634, L0635, L0636, L0637, L0638, L0639, L0640, L0641, L0642, L0643, L0648, L0649, L0650, L0651, L0980, L0982, L0984, L4002
Suction Pumps L33612

Effective
01/01/20
A52519

Effective
08/15/21
A4216, A4217, A4605, A4624, A4628, A7000, A7001, A7002, A7047, A9272, E0600, E2000, K0743, K0744, K0745, K0746
Surgical Dressings L33831

Effective
05/01/21
A54563

Effective
05/01/21
A4450, A4452, A4461, A4463, A4465, A4490, A4495, A4500, A4510, A4649, A6010, A6011, A6021, A6022, A6023, A6024, A6025, A6154, A6196, A6197, A6198, A6199, A6203, A6204, A6205, A6206, A6207, A6208, A6209, A6210, A6211, A6212, A6213, A6214, A6215, A6216, A6217, A6218, A6219, A6220, A6221, A6222, A6223, A6224, A6228, A6229, A6230, A6231, A6232, A6233, A6234, A6235, A6236, A6237, A6238, A6239, A6240, A6241, A6242, A6243, A6244, A6245, A6246, A6247, A6248, A6250, A6251, A6252, A6253, A6254, A6255, A6256, A6257, A6258, A6259, A6260, A6261, A6262, A6266, A6402, A6403, A6404, A6407, A6410, A6411, A6412, A6413, A6441, A6442, A6443, A6444, A6445, A6446, A6447, A6448, A6449, A6450, A6451, A6452, A6453, A6454, A6455, A6456, A6457, A6501, A6502, A6503, A6504, A6505, A6506, A6507, A6508, A6509, A6510, A6511, A6512, A6513, A6530, A6531, A6532, A6533, A6534, A6535, A6536, A6537, A6538, A6539, A6540, A6541, A6544, A6545, A6549, A9270
Therapeutic Shoes for Persons with Diabetes L33369

Effective
01/01/20
A52501

Effective
11/05/20
A5500, A5501, A5503, A5504, A5505, A5506, A5507, A5508, A5510, A5512, A5513, A5514, K0903
Tracheostomy Care Supplies L33832

Effective
01/01/20
A52492

Effective
01/01/20
A4364, A4402, A4450, A4452, A4456, A4481, A4623, A4625, A4626, A4629, A5120, A7501, A7502, A7503, A7504, A7505, A7506, A7507, A7508, A7509, A7520, A7521, A7522, A7523, A7524, A7526, A7527
Transcutaneous Electrical Joint Stimulation Devices (TEJSD) L34821

Effective
01/01/20
A52713

Effective
01/01/20
A4465, A4557, A4595, E0731, E0762
Transcutaneous Electrical Nerve Stimulators (TENS) L33802

Effective
11/20/21
A52520

Effective
01/01/23
A4557, A4595, E0720, E0730, E0731
Tumor Treatment Field Therapy (TTFT) L34823

Effective
01/01/20
A52711

Effective
01/01/20
A4555, E0766
Urological Supplies L33803

Effective
04/01/21
A52521

Effective
04/01/21
A4217, A4310, A4311, A4312, A4313, A4314, A4315, A4316, A4320, A4321, A4322, A4326, A4327, A4328, A4331, A4332, A4333, A4334, A4335, A4336, A4338, A4340, A4344, A4346, A4349, A4351, A4352, A4353, A4354, A4355, A4356, A4357, A4358, A4360, A4402, A4450, A4452, A4455, A4456, A4520, A4553, A4554, A5102, A5105, A5112, A5113, A5114, A5131, A5200, A9270
Vacuum Erection Devices (VED) L34824

Effective
01/01/20
A52712

Effective
01/01/20
L7900, L7902
Walkers L33791

Effective
01/01/20
A52503

Effective
01/01/20
A4636, A4637, A9270, A9900, E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149, E0154, E0155, E0156, E0157, E0158, E0159, E1399
Wheelchair Options/Accessories L33792

Effective
01/01/20
A52504

Effective
01/01/20
A9270, A9900, E0705, E0950, E0951, E0952, E0954, E0958, E0959, E0961, E0967, E0971, E0973, E0974, E0978, E0981, E0982, E0985, E0988, E0990, E0995, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1009, E1010, E1011, E1012, E1014, E1015, E1016, E1017, E1018, E1020, E1028, E1029, E1030, E1225, E1226, E2201, E2202, E2203, E2204, E2205, E2206, E2207, E2208, E2209, E2210, E2211, E2212, E2213, E2214, E2215, E2216, E2217, E2218, E2219, E2220, E2221, E2222, E2224, E2225, E2226, E2227, E2228, E2230, E2295, E2300, E2301, E2310, E2311, E2312, E2313, E2321, E2322, E2323, E2324, E2325, E2326, E2327, E2328, E2329, E2330, E2331, E2351, E2358, E2359, E2360, E2361, E2362, E2363, E2364, E2365, E2366, E2367, E2368, E2369, E2370, E2371, E2372, E2373, E2374, E2375, E2376, E2377, E2378, E2381, E2382, E2383, E2384, E2385, E2386, E2387, E2388, E2389, E2390, E2391, E2392, E2394, E2395, E2396, E2397, E2398, K0015, K0017, K0018, K0019, K0020, K0037, K0038, K0039, K0040, K0041, K0042, K0043, K0044, K0045, K0046, K0047, K0050, K0051, K0052, K0053, K0056, K0065, K0069, K0070, K0071, K0072, K0073, K0077, K0098, K0105, K0108, K0195, K0733
Wheelchair Seating L33312

Effective
01/01/20
A52505

Effective
10/01/22
A9900, E0953, E0955, E0956, E0957, E0960, E0966, E0992, E1028, E2231, E2291, E2292, E2293, E2294, E2601, E2602, E2603, E2604, E2605, E2606, E2607, E2608, E2609, E2610, E2611, E2612, E2613, E2614, E2615, E2616, E2617, E2619, E2620, E2621, E2622, E2623, E2624, E2625, K0669, K0108

 

Last Updated Thu, 02 Mar 2023 18:40:13 +0000