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Get Application And Checklist For PDAC HCPCS Coding Verification Request Power Wheelchairs (Adult And

T one application for each base HCPCS code being requested. Additional HCPCS code(s) may be included on an application when they are add-on and/or accessory code(s) to the base code(s). If the PDAC receives an application that does not follow these guidelines, the application will be returned as incomplete. New applications and samples will need to be resubmitted. Multiple model numbers may be submitted on the same application only if the request is for the same base HCPCS code and their add-on.

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