ASSISTIVE DEVICES SUPPLEMENT
                                  NOTES
 
                     ASSISTIVE DEVICES EQUIPMENT LIST


     Device/Equipment                                          Code
     Leg Brace                                                  01
     Foot Brace                                                 02
     Arm Brace                                                  03
     Hand Brace                                                 04
     Neck Brace                                                 05
     Back Brace                                                 06
     Other Brace                                                07
     Crutches                                                   08
     Cane or Walking Stick                                      09
     Walker                                                     10
     Manual Wheelchair                                          11
     Electric Wheelchair                                        12
     Scooter                                                    13
     Other Mobility Aid                                         14
     Hearing Aid                                                15
     TDD or TTY                                                 16
     Special Alarms                                             17
     Other Special Hearing Equipment                            18
     White Cane                                                 19
     Other Vision Equipment                                     20
     Artificial Leg or Foot                                     21
     Artificial Arm or Hand                                     22
     Speech Problem Aid                                         23
     Specially Adapted Typewriter/Computer                      24
     Other Special Equipment for Disability/Impairment          25
     Knee Brace                                                 26
     Thumb Brace                                                27
     Ankle Brace                                                28
     Extra Speaker on Phone                                     29
     Telephone Amplifier                                        30
     Speech Amplifier                                           31
     Telephone Volume Control                                   32
     Special Phone                                              33
     Nebulizer                                                  34
     Hospital Bed                                               35
     Bedside Commode                                            36
     CC TV Magnifier                                            37
     Shoe Lifts                                                 38
     Trapeze                                                    39
     Special Shoes                                              40
     Electrical Pulse for Back Pain                             42
       "Tens" (also pain stimulator, electric
       tengen unit, lower lumbar problem)
          
    
     


                                   - 4 -


                                 
                       ASSISTIVE DEVICES EQUIPMENT LIST
                                  

     Device/Equipment                                          Code
     Ramp Entry                                                 43
     Bathtub with Seat                                          44
     Handrail on Tub                                            45
     Breathing Treatment Machine                                46
     Loud Bell for Telephone                                    48
     Body Brace                                                 49
     Inhaler                                                    50
     Oxygen Machine                                             51
     Elbow Brace                                                52
     Wrist Brace                                                53
     Hydraulic device for bathtub                               54
     Raised toilet seat                                         55
     Electric riding cart (amigo)                               56
     "Reach out and grab it thing"                              57
     Lift chair (electrical) (elevator)                         58
     Body Lift                                                  59
     Special doorbell                                           60
     Tilt table                                                 61
     St. Jude Heart Valve                                       62
     Mouth Splint/Mouth Brace                                   63
     Life Line                                                  64
     Magnifying glass                                           65
     Elevator                                                   66
     Flashing light on phone for door                           67
     Prosthesis                                                 68
     Jerry chair                                                69
     Steel bone corset                                          70
     Talking book                                               71
     Amplifier NOS                                              72
     Sport splint                                               73
     Glucometer                                                 74
     Vibrating foot massager                                    75
     Prism                                                      76
     Electric stair lift                                        77
     SNOAR (Snore)                                              78
     Bathtub support                                            79
     Toilet support                                             80
     Special car                                                81
     Telescopic aids                                            82
     Shower Hand Rails                                          83
     Shoulder brace                                             84
     Smoke alarm for Hearing Impaired                           85
     Portable Toilet                                            86
     Accelerator on car                                         87
     
     




                                   - 5 -


                                 
                       ASSISTIVE DEVICES EQUIPMENT LIST
                                       
     
     Device/Equipment                                          Code
     Computer and Printer                                       88
     TRUSS (Abdominal brace)                                    89
     Chair Bed                                                  90
     Pulmo Aid                                                  91
     Long Sitter                                                92
     Stabilizer (upper body)                                    93
     Suspended swing                                            94
     Humidifier                                                 95
     Feeding Machine                                            96









































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