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 - 6 -