HCPCS Code E1701

Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Short DescriptionRepl cushions for jaw motion
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 1996
Code Added DateJanuary 01, 1993
Pricing Indicator34 = DME supplies(price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics