Transcription of Permobil Product Classification List 09.26.07doc
1 Permobil Product Classification ListPermobil Funding Department1 SystemProduct Name / Model Number(listed on SADMERC ProductClassification List)HCPCS CodeGroup 2- Multiple Power OptionChairman HD3 CorpusChairman HD3-2K0843 Group 3 No Power OptionC300 PSC300-PS0K0848C300 CorpusC300-PS0K0848C300 Corpus 3- Single Power OptionC300 PSC300-PS1K0856C300 CorpusC300-PS1K0856C300 Corpus 3- Multiple Power OptionC300 CorpusC300-PS2K0861C300 Corpus Product Classification ListPermobil Funding Department2 SystemProduct Name / Model Number(listed on SADMERC ProductClassification List)HCPCSCodeGroup 4- Multiple Power OptionC350 CorpusC350-HS PS2K0884C500 CorpusC500-PS2K0884C500 (S-Package)CorpusC500-PS2K0884C500 LowriderC500-PS2K0884C500 (S-Package)LowriderC500-PS2K0884C500 PSC500-PS2K0884C500 (S-Package)PSC500-PS2K0884C500 RSC500-PS2K0884C500 Stander/ VSC500-PS2K0884 StreetCorpusStreetK0884 Group 5- Single Power OptionKoalaMiniflexKoala 690 MiniflexK0890 Group 5- Multiple Power OptionRoboMiniflexPlayman Robo MiniflexK0891
