Pride Mobility Heritage Collection Owner's manual

Page 1 of 2INFINFB3726/RevC/23MAR2020

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HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining

the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are

MSRP. Prices, specications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available

when congured as a complete power lift recliner. Pride Providers may contact Technical Services for accurate parts ordering. Options noted with XRef

have multiple possible part numbers based on system conguration. Please see cross-reference spreadsheet for the XRef part numbers.

Thank you for choosing Pride

Mobility Products!

Introduction

Heritage Collection Quick Ship Order Form

Pride Mobility Products Corporation

182 Susquehanna Ave., Exeter, PA 18643

Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

Heritage Collection

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

Black Cherry .......................................... Standard

Part: FABBCH

Pacic ..................................................... Standard

Part: FABPAC

Stone ....................................................... Standard

Part: FABSTN

Walnut ..................................................... Standard

Part: FABWAL

Select a Fabric Color

See Page 2 for more fabrics and colors.

Cloud 9 Fabrics

*See Power Lift Recliner Position Reference on Page 2.

**Additional charges apply to Sta-Kleen fabrics.

LC-358S

Shown in Cloud 9 Walnut

LC358S .............................................................................$1,349

Part: LC358SMODEL

HCPCS: E0627 — seat lift mechanism, electric, any type.

3-Position, Full Recline*

Height range: 5′3″ and under. Weight capacity: 375 lbs. Seat Width: 18″.

LC358M .............................................................................$1,349

Part: L358MMODEL

HCPCS:

E0627 — seat lift mechanism, electric, any type.

3-Position, Full Recline*

Height range: 5′4″ to 6′. Weight capacity: 375 lbs. Seat Width: 20″.

LC358L.............................................................................. $1,399

Part: LC358LMODEL

HCPCS: E0627 — seat lift mechanism, electric, any type.

3-Position, Full Recline*

Height range: 5′9″ to 6′2″. Weight capacity: 375 lbs. Seat Width: 22″.

LC358PW ..........................................................................$1,399

Part: LC358PWMODEL

HCPCS: E0627 — seat lift mechanism, electric, any type.

3-Position, Full Recline*

Height range: 5′3″ and under. Weight capacity: 375 lbs. Seat Width: 24″.

LC358XL ...........................................................................$1,849

Part: LC358XLMODEL

HCPCS:

E0627 — seat lift mechanism, electric, any type.

3-Position, Full Recline*

Height range: 5′6″ to 6′1″. Weight capacity: 500 lbs. Seat Width: 26″.

LC358XXL ........................................................................ $2,149

Part: LC358XXLMODEL

HCPCS:

E0627 — seat lift mechanism, electric, any type.

2-Position, TV Recline*

Height range: 5′6″ to 6′1″. Weight capacity: 600 lbs. Seat Width: 30″.

Colors limited to: Cloud 9 Walnut, Cloud 9 Stone,

and Sta-Kleen Chestnut**.

Page 2 of 2INFINFB3726/RevC/23MAR2020

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Espresso ........................................................ $250

Part: FABXESP

Cool Grey ....................................................... $250

Part: FABCCG

Red .................................................................. $250

Part: FABXPRD

Sand ................................................................ $250

Part: FABXSAN

Crypton

Aria Fabrics

Not a Quick Ship fabric. May increase lead time.

Bu .................................................................. $630

Part: FABUBUF

Fudge .............................................................. $630

Part: FABUFUD

Garnet ............................................................. $630

Part: FABUGAR

Charcoal ......................................................... $630

Part: FABUCL

Pecan .............................................................. $630

Part: FABUPEC

Ultraleather™ Fabrics

Not a Quick Ship fabric. May increase lead time.

Select Upgrades and Accessories

Head Pillow ........................................................................... $50

Part: See XRef

Bolster Pillow ....................................................................... $50

Part: See XRef

Lumbar Pillow ....................................................................... $50

Part: See XRef

Wireless Remote .................................................................. $89

Not available with LC358XL and LC358XXL

Part: ELEASMB7120017

Heat and Massage ..............................................................$180

Not available with LC358XXL

Part: ELE160752

First Up Technology ............................................................ $59

Not available with LC358XL and LC358XXL

Part: ELE150019

Lift Chair Fabric Cleaning Kit ............................$39.90 ea.

Part: ACC2001791

Black ............................................................... $150

Part: FABSKB

Mushroom ...................................................... $150

Part: FABSKM

Burgundy ....................................................... $150

Part: FABSKG

Chestnut ......................................................... $150

Part: FABSKC

Lexis Sta-Kleen

Fabrics

Not a Quick Ship fabric. May increase lead time.

2-Position (TV Recline)

TV recline can be achieved on all Pride

Power Lift Recliners. This features a

partially elevated footrest and a slightly

reclined backrest.

Power Lift Recliner Position Reference

Not all positions shown may be available in the Heritage Collection. Reference the chair model details (Page 1) for available positions.

3-Position (Full Recline)

Full recline can be achieved on 3-position

Pride Power Lift Recliners when the footrest

is fully elevated.

Select a Fabric Color (continued)

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Pride Mobility Products Corporation

182 Susquehanna Ave., Exeter, PA 18643

Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

Pride Mobility Heritage Collection Owner's manual

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