Quickie P-11 User Manual download pdf (Page 2)

D D

The

HCPCS CODES

provided are based on code verification through PDAC or our interpretation of the code definitions.

The use of

HCPCS CODES

does not ensure coverage or payment. For coverage information, verify the appropriate payer's coverage policy.

Price

Definition

HCPCS

Option #

HCPCS

Price

Definition

 



 



 



 



 



Std with White unless above base paint is chosen

NA with Black.

105C108 -

Zebra (Choose above base color)

Custom Colors

105C127 -

Fuchsia

$295.00

105C112 -

Desert Camouflage $295.00

105C43 -

Mossy Oak Camouflage $295.00

Sparkle Silver N/C

105C113 -

Titanium Color Paint N/C

105C114

105C8 -

Yellow

N/C

105C128 -

Copper N/C

105C11 -

Toxic Green N/C

105C103 -

Rootbeer N/C

105HT12

19" (Not available with power seating

options.

Seat Height

N/C

105C126 -

Glow N/C

105C42 -

Stars & Stripes

105SD12

N/C

18"

Seat Frame Angle

105FA3

3° N/CN/C

17"

105SD13

20" N/C

19"



105FT47

N/C



105HT10

16" N/C

22" N/C

105SD14

21" N/C

105SD33

Seat Rail Type



105FT50

Straight Seat Frame (not avail. With

power ALR/ELR)

N/C

Flared Seat Frame (Add 1" ea.side) N/C

105SD11

105SD9

105SD10

105SD7

N/C

14"

18" (Add .5" for Power CG Tilt or Tilt

and Recline.)

105W13

105W14

24" Wide base (27-3/4") Included. N/C

105W11

105SD8

15" N/C

20" N/C

105W8

N/C

105W7

19"

105W10

17"

105W9

18"

22" Wide base (27-3/4") Included. N/C

Seat Depth

N/C



105W5

16" N/C

105W6

14" N/C

15"

Midnight Purple

$295.00

4. SEATING

Seat Width

105C10 -

Black Opal N/C

N/C

105C4

105C5

Pearl Pink N/C

N/C

105C2

105C36

Black

Candy Blue

105C38 -

Blue Opal

105C35 -

Candy Red

105C6 -

Forest Green

3. FRAME COLOR OPTIONS

N/C



105HT17

21" (Not available with power seating

options.

N/C



105HT14

20" (Add .5" for Power CG Tilt or Tilt

and Recline.)

N/C



105FA4

6°

Not avail. w/ 18" seat height.

N/C

105FA5

9°

Not avail. w/ 18" seat height.

ORDERING INFORMATION PHONE: (800) 236-4215, FAX: (602) 279-0952, WEBSITE: www.southwestmedical.com

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Quickie P-11 User Manual Page 2

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