All abbreviations and column headings correspond to those listed in the current Medicaid DME Index. Refer to the All-Provider Handbook, for downloading instructions . You may purchase copies of the updated DME Index from the fiscal agent.
Copies are available on paper, tape cartridge, magnetic tape, microfiche, or diskette.
Refer to Appendix 38 of Part A , the all-provider handbook, for ordering instructions. K0460 power add-on, to convert manual wheelchair to motorized wheelchair, joystick control. L0999 addition to spinal orthosis, not otherwise specified. L1843 KO, single upright, thigh and calf, with adjustable flexion and extension joint, medial-lateral and rotation control, custom fitted. L8039 breast prosthesis, no otherwise specified.