Invacare Tracer SX5 Recliner Wheelchair

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Special Note

HCPCS codes are not intended to be, nor should be considered billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare Program and should consult an attorney or other advisor to discuss specific situations in further detail.

Pre-Configured Stock Wheelchairs

Stock Chairs

TRSX5RC6P 16" x 16" Recliner Frame with Fixed Height Conventional Desk Arm - $1,270.29 (K0003 + E1226)
TRSX5RC8P 18" x 16" Recliner Frame with Fixed Height Conventional Desk Arm - $1,270.29 (K0003 + E1226)

Stock Front Rigging

T93HAP Hemi Sw. Footrests Aluminum Footplates w/ Heel Loops - $99.13 (E0951)
AHL4A/U67 Hemi Smart Leg Articulating Legrests Aluminum Footplates - $341.09 (K0053)
T93HCP Hemi Sw. Footrests Composite Footplates w/ Heel Loops - $99.13 (E0951)
T93HEP Hemi Sw. Footrests Composite Footplates (no heel loop) - $69.29
T94HAP Hemi Sw. Elev Legrests Aluminum Footplates & Padded Calf Pad - $191.86 (K0195)
T94HEP Hemi Sw. Legrest Composite Footplates & Non-Padded Calfpad - $117.25 (K0195)
T94HCP Hemi Sw. Elev Legrests Composite Footplates & Padded Calf Pad - $191.86 (K0195)

Frames

Chair Type

TRSX5RC Tracer SX5 Recliner Builder Wheelchair - $1,410.00
Note: See Frame Width & Depth for Base HCPC Codes

Frame Width and Depth

WD46 14" Wide x 16" Deep - $96.39 (E1236 + E1226)
WD48 14" Wide x 18" Deep - $126.38 (E1236)
WD66 16" Wide x 16" Deep - No Charge
WD68 16" Wide x 18" Deep - $126.38
WD86 18" Wide x 16" Deep - No Charge
WD88 18" Wide x 18" Deep - $126.38
WD06 20" Wide x 16" Deep - No Charge (E2201)
20" and 22" widths have 300 lbs. weight limit requiring 1228 casters (upcharge necessary, see "Casters" section), and 24" rear wheels (no upcharge).
WD08 20" Wide x 18" Deep - $272.03 (E2201)
20" and 22" widths have 300 lbs. weight limit requiring 1228 casters (upcharge necessary, see "Casters" section), and 24" rear wheels (no upcharge).
WD26 22" Wide x 16" Deep - No Charge (E2201)
20" and 22" widths have 300 lbs. weight limit requiring 1228 casters (upcharge necessary, see "Casters" section), and 24" rear wheels (no upcharge).
WD28 22" Wide x 18" Deep - $272.03 (E2201)
20" and 22" widths have 300 lbs. weight limit requiring 1228 casters (upcharge necessary, see "Casters" section), and 24" rear wheels (no upcharge).

Arms

All arm types below are removable, conventional and nonflip-back.

Arm Type

18 Full Length Fixed Height Conv. 10" - No Charge
19 Full Length Adj. Height Conv. 10" - 14" - $139.23 (E0973)
28 Desk Length Fixed Height Conv. 10" - No Charge
29 Desk Length Adj. Height Conv. 10" - 14" - $139.23 (E0973)

Frame Type

R Recliner Frame - $439.11 (E1226)
90 degree to 180 degree of recline. 24" back height with 10" headrest extension.

Color Options

Upholstery Colors

U240 Black Nylon Upholstery - No Charge
U550 Midnight Blue Vinyl Upholstery - Standard
U67 Black Vinyl - No Charge
U86 Ruby Red Vinyl - No Charge

Casters

Caster Options

AT903 8" x 1.25" Composite Urethane - Standard
1228 8" x 1.75" Semi Pneumatic Casters Lt Grey - $59.98
4252 8" x 1.25" Pneumatic Casters w/FF Inserts - $191.71 (E2217)

Wheels

Wheel Options

U1763BK 20" Composite Urethane Tires - $121.02
U1764BK 22" Composite Urethane Tires - $121.02
2244BK 24" Composite Pneumatic Tires - $149.94 (E2211+E2213)
4244BK 24" Composite Pneumatic with FF Inserts - $240.98 (E2211+E2213)
U2222C 24" Composite Urethane Corded Tires - Standard (E2211 + E2212)
U2244BK 24" Composite Urethane Treaded Tires - $128.52

Wheel Locks

9690B Pull To Lock Wheel Locks (Std on Hemi) - No Charge
9691B Push To Lock Wheel Locks (Std on Adult) - No Charge

Handrim Options

COM Composite Handrims - Standard
Available with 24" rear wheels only.
AHDRM Aluminum Handrims - No Charge
Not available with U2222C rear wheels.

Positioning Strap Options

Seat Positioning Straps

1515 Push Button Style Positioning Strap - $53.35 (E0978)
1321BK Hook and Loop Seat Positioning Strap - $42.84 (E0978)

Accessories

Back Accessories

L8601 Omit Back Upholstery - Less $0.00
STC Stencil Back Upholstery 3/4" Block Letters - $31.06

Seat Accessories

L8651 Omit Back Upholstery - Less $0.00

Miscellaneous Accessories

1322SXR IV Rod and Bracket, Telescopic, Recliner - $117.81
MUPH Matching Upholstery - No Charge
Applies to arm pads and calf pads.
1329BK Toggle Wheel Lock Extension (8") - $41.77 (E0961)

Front Rigging Options

Front Riggings

T93HE Hemi Sw. Footrests Composite Footplates (no heel loop) - $69.28
Not available with 14" wide.
AHL4A Hemi Smart Leg Articulating Legrests Aluminum Footplates - $341.09 (K0053)
Not available with 14" wide. All calfpads are black.
T93HA Hemi Sw. Footrests Aluminum Footplates w/ Heel Loops - $99.13 (E0951)
Not available with 14" wide.
AHL4C Hemi Smart Leg Articulating Legrests Composite Footplates - $341.09 (K0053)
Not available with 14" wide. All calfpads are black.
T93HC Hemi Sw. Footrests Composite Footplates w/ Heel Loops - $99.13 (E0951)
Not available with 14" wide.
AHS4A Hemi Smart Leg Articulating Legrestst-14" W Chairs - $341.09 (K0053)
All calfpads are black.
T94HE Hemi Sw. Legrest Composite Footplates & Non-Padded Calfpad - $117.25 (K0195)
T93HS Hemi Sw. Footrests Aluminum Footplates w/ Heel Loops- 14" W Chairs - $95.93 (E0951)
T94HA Hemi Sw. Elev Legrests Aluminum Footplates & Padded Calf Pad - $191.86 (K0195)
Not available with 14" wide. All calfpads are black.
T94HS Hemi Sw. Elevating Legrests Aluminum Footplates & Padded Calf Pad- 14" W Chairs - $186.53 (K0195)
All calfpads are black.
T94HC Hemi Sw. Elev Legrests Composite Footplates & Padded Calf Pad - $191.86 (K0195)
Not available with 14" wide. All calfpads are black.

Footplate Type

1350 Extra Large Footplates - $84.21 (K0041)
Not available with 14" wide.
AT5543 Adjustable Angle Flip-Up Footplates - $71.42 (K0040)

Footrest/Legrest Accessories

1820 Non - Removable Device - $12.79
1346 Heel Loops - $41.57 (E0951)
Standard on Swingaway Footrests T93HA and T93HC.

Seat-to-Floor 8" Casters

SEAT-TO-FLOOR HEIGHT	FRONT CASTER MOUNTING POSITION	REAR WHEEL SIZE	REAR WHEEL MOUNTING POSITION
17 1/2	Top	20"	Recliner Axle Mounting Bracket
18 1/2	Middle	22"	Recliner Axle Mounting Bracket
19 1/2	Bottom	24"	Recliner Axle Mounting Bracket

Standard on SX5 Recliner

Rear anti-tippers ⚙️
Patient only operated push-to-lock wheel lock

Weight Limitation: 250 lbs., 300 lbs. (20" & 22" width)

Invacare recommends all wheelchairs be fitted to the consumer under the guidance of a healthcare professional, knowledgeable of the particular limitations of the product.

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