Icon™ Back System Decision Tree

Client has Medicare approved wheelchair No Not approved for Wheelchair Cushion  
Yes      
Client has significant postural asymmetries that are due to one of the following diagnoses. No General Use Wheelchair Back
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Other Back Supports



Yes    
Positioning Wheelchair Back Qualifying ICD-9 Codes
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Icon™ Low Back

Icon™ Mid Back

Icon™ Tall Back

Icon™ Deep Back

Other Back Supports