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HCPCS Codes Alphabetical Index

— K —  /  — K0 —

K0 — Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
Code added date: 19930101
Code effective date: 20030101
K0 in HTML format HTML  |  K0 in PDF (Portable Document Format) PDF  |  K0 in plain Text format TXT
K0001 — Standard wheelchair
Code added date: 19940101
Code effective date: 19940101
K0001 in HTML format HTML  |  K0001 in PDF (Portable Document Format) PDF  |  K0001 in plain Text format TXT
K0002 — Standard hemi (low seat) wheelchair
Code added date: 19940101
Code effective date: 19940101
K0002 in HTML format HTML  |  K0002 in PDF (Portable Document Format) PDF  |  K0002 in plain Text format TXT
K0003 — Lightweight wheelchair
Code added date: 19940101
Code effective date: 19940101
K0003 in HTML format HTML  |  K0003 in PDF (Portable Document Format) PDF  |  K0003 in plain Text format TXT
K0004 — High strength, lightweight wheelchair
Code added date: 19940101
Code effective date: 19940101
K0004 in HTML format HTML  |  K0004 in PDF (Portable Document Format) PDF  |  K0004 in plain Text format TXT
K0005 — Ultralightweight wheelchair
Code added date: 19940101
Code effective date: 19940101
K0005 in HTML format HTML  |  K0005 in PDF (Portable Document Format) PDF  |  K0005 in plain Text format TXT
K0006 — Heavy duty wheelchair
Code added date: 19940101
Code effective date: 19940101
K0006 in HTML format HTML  |  K0006 in PDF (Portable Document Format) PDF  |  K0006 in plain Text format TXT
K0007 — Extra heavy duty wheelchair
Code added date: 19940101
Code effective date: 19940101
K0007 in HTML format HTML  |  K0007 in PDF (Portable Document Format) PDF  |  K0007 in plain Text format TXT
K0008 — Custom manual wheelchair/base
Code added date: 20130701
Code effective date: 20130701
K0008 in HTML format HTML  |  K0008 in PDF (Portable Document Format) PDF  |  K0008 in plain Text format TXT
K0009 — Other manual wheelchair/base
Code added date: 19940101
Code effective date: 20130701
K0009 in HTML format HTML  |  K0009 in PDF (Portable Document Format) PDF  |  K0009 in plain Text format TXT
K0010 — Standard - weight frame motorized/power wheelchair
Code added date: 19940101
Code effective date: 19970505
K0010 in HTML format HTML  |  K0010 in PDF (Portable Document Format) PDF  |  K0010 in plain Text format TXT
K0011 — Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
Code added date: 19940101
Code effective date: 19970505
K0011 in HTML format HTML  |  K0011 in PDF (Portable Document Format) PDF  |  K0011 in plain Text format TXT
K0012 — Lightweight portable motorized/power wheelchair
Code added date: 19940101
Code effective date: 19970505
K0012 in HTML format HTML  |  K0012 in PDF (Portable Document Format) PDF  |  K0012 in plain Text format TXT
K0013 — Custom motorized/power wheelchair base
Code added date: 20130701
Code effective date: 20130701
K0013 in HTML format HTML  |  K0013 in PDF (Portable Document Format) PDF  |  K0013 in plain Text format TXT
K0014 — Other motorized/power wheelchair base
Code added date: 19940101
Code effective date: 20010101
K0014 in HTML format HTML  |  K0014 in PDF (Portable Document Format) PDF  |  K0014 in plain Text format TXT
K0015 — Detachable, non-adjustable height armrest, replacement only, each
Code added date: 19940101
Code effective date: 20160701
K0015 in HTML format HTML  |  K0015 in PDF (Portable Document Format) PDF  |  K0015 in plain Text format TXT
K0017 — Detachable, adjustable height armrest, base, replacement only, each
Code added date: 19940101
Code effective date: 20160101
K0017 in HTML format HTML  |  K0017 in PDF (Portable Document Format) PDF  |  K0017 in plain Text format TXT
K0018 — Detachable, adjustable height armrest, upper portion, replacement only, each
Code added date: 19940101
Code effective date: 20160101
K0018 in HTML format HTML  |  K0018 in PDF (Portable Document Format) PDF  |  K0018 in plain Text format TXT
K0019 — Arm pad, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0019 in HTML format HTML  |  K0019 in PDF (Portable Document Format) PDF  |  K0019 in plain Text format TXT
K0020 — Fixed, adjustable height armrest, pair
Code added date: 19940101
Code effective date: 19940101
K0020 in HTML format HTML  |  K0020 in PDF (Portable Document Format) PDF  |  K0020 in plain Text format TXT
K0037 — High mount flip-up footrest, each
Code added date: 19940101
Code effective date: 20181001
K0037 in HTML format HTML  |  K0037 in PDF (Portable Document Format) PDF  |  K0037 in plain Text format TXT
K0038 — Leg strap, each
Code added date: 19940101
Code effective date: 19940101
K0038 in HTML format HTML  |  K0038 in PDF (Portable Document Format) PDF  |  K0038 in plain Text format TXT
K0039 — Leg strap, h style, each
Code added date: 19940101
Code effective date: 19940101
K0039 in HTML format HTML  |  K0039 in PDF (Portable Document Format) PDF  |  K0039 in plain Text format TXT
K0040 — Adjustable angle footplate, each
Code added date: 19940101
Code effective date: 19940101
K0040 in HTML format HTML  |  K0040 in PDF (Portable Document Format) PDF  |  K0040 in plain Text format TXT
K0041 — Large size footplate, each
Code added date: 19940101
Code effective date: 19940101
K0041 in HTML format HTML  |  K0041 in PDF (Portable Document Format) PDF  |  K0041 in plain Text format TXT
K0042 — Standard size footplate, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0042 in HTML format HTML  |  K0042 in PDF (Portable Document Format) PDF  |  K0042 in plain Text format TXT
K0043 — Footrest, lower extension tube, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0043 in HTML format HTML  |  K0043 in PDF (Portable Document Format) PDF  |  K0043 in plain Text format TXT
K0044 — Footrest, upper hanger bracket, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0044 in HTML format HTML  |  K0044 in PDF (Portable Document Format) PDF  |  K0044 in plain Text format TXT
K0045 — Footrest, complete assembly, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0045 in HTML format HTML  |  K0045 in PDF (Portable Document Format) PDF  |  K0045 in plain Text format TXT
K0046 — Elevating legrest, lower extension tube, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0046 in HTML format HTML  |  K0046 in PDF (Portable Document Format) PDF  |  K0046 in plain Text format TXT
K0047 — Elevating legrest, upper hanger bracket, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0047 in HTML format HTML  |  K0047 in PDF (Portable Document Format) PDF  |  K0047 in plain Text format TXT
K0050 — Ratchet assembly, replacement only
Code added date: 19940101
Code effective date: 20170101
K0050 in HTML format HTML  |  K0050 in PDF (Portable Document Format) PDF  |  K0050 in plain Text format TXT
K0051 — Cam release assembly, footrest or legrest, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0051 in HTML format HTML  |  K0051 in PDF (Portable Document Format) PDF  |  K0051 in plain Text format TXT
K0052 — Swingaway, detachable footrests, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0052 in HTML format HTML  |  K0052 in PDF (Portable Document Format) PDF  |  K0052 in plain Text format TXT
K0053 — Elevating footrests, articulating (telescoping), each
Code added date: 19940101
Code effective date: 19940101
K0053 in HTML format HTML  |  K0053 in PDF (Portable Document Format) PDF  |  K0053 in plain Text format TXT
K0056 — Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair
Code added date: 19940101
Code effective date: 19990101
K0056 in HTML format HTML  |  K0056 in PDF (Portable Document Format) PDF  |  K0056 in plain Text format TXT
K0065 — Spoke protectors, each
Code added date: 19940101
Code effective date: 20000101
K0065 in HTML format HTML  |  K0065 in PDF (Portable Document Format) PDF  |  K0065 in plain Text format TXT
K0069 — Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0069 in HTML format HTML  |  K0069 in PDF (Portable Document Format) PDF  |  K0069 in plain Text format TXT
K0070 — Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each
Code added date: 19940101
Code effective date: 20160701
K0070 in HTML format HTML  |  K0070 in PDF (Portable Document Format) PDF  |  K0070 in plain Text format TXT
K0071 — Front caster assembly, complete, with pneumatic tire, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0071 in HTML format HTML  |  K0071 in PDF (Portable Document Format) PDF  |  K0071 in plain Text format TXT
K0072 — Front caster assembly, complete, with semi-pneumatic tire, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0072 in HTML format HTML  |  K0072 in PDF (Portable Document Format) PDF  |  K0072 in plain Text format TXT
K0073 — Caster pin lock, each
Code added date: 19940101
Code effective date: 19940101
K0073 in HTML format HTML  |  K0073 in PDF (Portable Document Format) PDF  |  K0073 in plain Text format TXT
K0077 — Front caster assembly, complete, with solid tire, replacement only, each
Code added date: 19940101
Code effective date: 20170101
K0077 in HTML format HTML  |  K0077 in PDF (Portable Document Format) PDF  |  K0077 in plain Text format TXT
K0098 — Drive belt for power wheelchair, replacement only
Code added date: 19940101
Code effective date: 20170101
K0098 in HTML format HTML  |  K0098 in PDF (Portable Document Format) PDF  |  K0098 in plain Text format TXT
K0105 — Iv hanger, each
Code added date: 19940101
Code effective date: 20000101
K0105 in HTML format HTML  |  K0105 in PDF (Portable Document Format) PDF  |  K0105 in plain Text format TXT
K0108 — Wheelchair component or accessory, not otherwise specified
Code added date: 19940101
Code effective date: 19990701
K0108 in HTML format HTML  |  K0108 in PDF (Portable Document Format) PDF  |  K0108 in plain Text format TXT
K0195 — Elevating leg rests, pair (for use with capped rental wheelchair base)
Code added date: 19930101
Code effective date: 19930101
K0195 in HTML format HTML  |  K0195 in PDF (Portable Document Format) PDF  |  K0195 in plain Text format TXT
K0455 — Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)
Code added date: 19980101
Code effective date: 20030701
K0455 in HTML format HTML  |  K0455 in PDF (Portable Document Format) PDF  |  K0455 in plain Text format TXT
K0462 — Temporary replacement for patient owned equipment being repaired, any type
Code added date: 19980701
Code effective date: 19980701
K0462 in HTML format HTML  |  K0462 in PDF (Portable Document Format) PDF  |  K0462 in plain Text format TXT
K0552 — Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each
Code added date: 20030701
Code effective date: 20170101
K0552 in HTML format HTML  |  K0552 in PDF (Portable Document Format) PDF  |  K0552 in plain Text format TXT
K0553 — Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
Code added date: 20170701
Code effective date: 20230101
K0553 in HTML format HTML  |  K0553 in PDF (Portable Document Format) PDF  |  K0553 in plain Text format TXT
K0554 — Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system
Code added date: 20170701
Code effective date: 20230101
K0554 in HTML format HTML  |  K0554 in PDF (Portable Document Format) PDF  |  K0554 in plain Text format TXT
K0601 — Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each
Code added date: 20030401
Code effective date: 20030401
K0601 in HTML format HTML  |  K0601 in PDF (Portable Document Format) PDF  |  K0601 in plain Text format TXT
K0602 — Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each
Code added date: 20030401
Code effective date: 20030401
K0602 in HTML format HTML  |  K0602 in PDF (Portable Document Format) PDF  |  K0602 in plain Text format TXT
K0603 — Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each
Code added date: 20030401
Code effective date: 20030401
K0603 in HTML format HTML  |  K0603 in PDF (Portable Document Format) PDF  |  K0603 in plain Text format TXT
K0604 — Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each
Code added date: 20030401
Code effective date: 20030401
K0604 in HTML format HTML  |  K0604 in PDF (Portable Document Format) PDF  |  K0604 in plain Text format TXT
K0605 — Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each
Code added date: 20030401
Code effective date: 20030401
K0605 in HTML format HTML  |  K0605 in PDF (Portable Document Format) PDF  |  K0605 in plain Text format TXT
K0606 — Automatic external defibrillator, with integrated electrocardiogram analysis, garment type
Code added date: 20030701
Code effective date: 20030701
K0606 in HTML format HTML  |  K0606 in PDF (Portable Document Format) PDF  |  K0606 in plain Text format TXT
K0607 — Replacement battery for automated external defibrillator, garment type only, each
Code added date: 20030701
Code effective date: 20140401
K0607 in HTML format HTML  |  K0607 in PDF (Portable Document Format) PDF  |  K0607 in plain Text format TXT
K0608 — Replacement garment for use with automated external defibrillator, each
Code added date: 20030701
Code effective date: 20030701
K0608 in HTML format HTML  |  K0608 in PDF (Portable Document Format) PDF  |  K0608 in plain Text format TXT
K0609 — Replacement electrodes for use with automated external defibrillator, garment type only, each
Code added date: 20030701
Code effective date: 20030701
K0609 in HTML format HTML  |  K0609 in PDF (Portable Document Format) PDF  |  K0609 in plain Text format TXT
K0669 — Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
Code added date: 20040701
Code effective date: 20100701
K0669 in HTML format HTML  |  K0669 in PDF (Portable Document Format) PDF  |  K0669 in plain Text format TXT
K0672 — Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each
Code added date: 20080401
Code effective date: 20080401
K0672 in HTML format HTML  |  K0672 in PDF (Portable Document Format) PDF  |  K0672 in plain Text format TXT
K0730 — Controlled dose inhalation drug delivery system
Code added date: 20050701
Code effective date: 20140401
K0730 in HTML format HTML  |  K0730 in PDF (Portable Document Format) PDF  |  K0730 in plain Text format TXT
K0733 — Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
Code added date: 20060701
Code effective date: 20060701
K0733 in HTML format HTML  |  K0733 in PDF (Portable Document Format) PDF  |  K0733 in plain Text format TXT
K0738 — Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing
Code added date: 20061001
Code effective date: 20061001
K0738 in HTML format HTML  |  K0738 in PDF (Portable Document Format) PDF  |  K0738 in plain Text format TXT
K0739 — Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
Code added date: 20090401
Code effective date: 20090401
K0739 in HTML format HTML  |  K0739 in PDF (Portable Document Format) PDF  |  K0739 in plain Text format TXT
K0740 — Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
Code added date: 20090401
Code effective date: 20090401
K0740 in HTML format HTML  |  K0740 in PDF (Portable Document Format) PDF  |  K0740 in plain Text format TXT
K0741 — Portable gaseous oxygen system, rental, includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing, for cluster headaches
Code added date: 20110701
Code effective date: 20130101
K0741 in HTML format HTML  |  K0741 in PDF (Portable Document Format) PDF  |  K0741 in plain Text format TXT
K0742 — Portable oxygen contents, gaseous, 1 month's supply = 1 unit, for cluster headaches, for initial months supply or to replace used contents
Code added date: 20110701
Code effective date: 20130101
K0742 in HTML format HTML  |  K0742 in PDF (Portable Document Format) PDF  |  K0742 in plain Text format TXT
K0743 — Suction pump, home model, portable, for use on wounds
Code added date: 20110701
Code effective date: 20110701
K0743 in HTML format HTML  |  K0743 in PDF (Portable Document Format) PDF  |  K0743 in plain Text format TXT
K0744 — Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less
Code added date: 20110701
Code effective date: 20110701
K0744 in HTML format HTML  |  K0744 in PDF (Portable Document Format) PDF  |  K0744 in plain Text format TXT
K0745 — Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches
Code added date: 20110701
Code effective date: 20110701
K0745 in HTML format HTML  |  K0745 in PDF (Portable Document Format) PDF  |  K0745 in plain Text format TXT
K0746 — Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches
Code added date: 20110701
Code effective date: 20110701
K0746 in HTML format HTML  |  K0746 in PDF (Portable Document Format) PDF  |  K0746 in plain Text format TXT
K0800 — Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0800 in HTML format HTML  |  K0800 in PDF (Portable Document Format) PDF  |  K0800 in plain Text format TXT
K0801 — Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0801 in HTML format HTML  |  K0801 in PDF (Portable Document Format) PDF  |  K0801 in plain Text format TXT
K0802 — Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0802 in HTML format HTML  |  K0802 in PDF (Portable Document Format) PDF  |  K0802 in plain Text format TXT
K0806 — Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0806 in HTML format HTML  |  K0806 in PDF (Portable Document Format) PDF  |  K0806 in plain Text format TXT
K0807 — Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0807 in HTML format HTML  |  K0807 in PDF (Portable Document Format) PDF  |  K0807 in plain Text format TXT
K0808 — Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0808 in HTML format HTML  |  K0808 in PDF (Portable Document Format) PDF  |  K0808 in plain Text format TXT
K0812 — Power operated vehicle, not otherwise classified
Code added date: 20061001
Code effective date: 20061001
K0812 in HTML format HTML  |  K0812 in PDF (Portable Document Format) PDF  |  K0812 in plain Text format TXT
K0813 — Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0813 in HTML format HTML  |  K0813 in PDF (Portable Document Format) PDF  |  K0813 in plain Text format TXT
K0814 — Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0814 in HTML format HTML  |  K0814 in PDF (Portable Document Format) PDF  |  K0814 in plain Text format TXT
K0815 — Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0815 in HTML format HTML  |  K0815 in PDF (Portable Document Format) PDF  |  K0815 in plain Text format TXT
K0816 — Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0816 in HTML format HTML  |  K0816 in PDF (Portable Document Format) PDF  |  K0816 in plain Text format TXT
K0820 — Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0820 in HTML format HTML  |  K0820 in PDF (Portable Document Format) PDF  |  K0820 in plain Text format TXT
K0821 — Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0821 in HTML format HTML  |  K0821 in PDF (Portable Document Format) PDF  |  K0821 in plain Text format TXT
K0822 — Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0822 in HTML format HTML  |  K0822 in PDF (Portable Document Format) PDF  |  K0822 in plain Text format TXT
K0823 — Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0823 in HTML format HTML  |  K0823 in PDF (Portable Document Format) PDF  |  K0823 in plain Text format TXT
K0824 — Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0824 in HTML format HTML  |  K0824 in PDF (Portable Document Format) PDF  |  K0824 in plain Text format TXT
K0825 — Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0825 in HTML format HTML  |  K0825 in PDF (Portable Document Format) PDF  |  K0825 in plain Text format TXT
K0826 — Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0826 in HTML format HTML  |  K0826 in PDF (Portable Document Format) PDF  |  K0826 in plain Text format TXT
K0827 — Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0827 in HTML format HTML  |  K0827 in PDF (Portable Document Format) PDF  |  K0827 in plain Text format TXT
K0828 — Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
Code added date: 20061001
Code effective date: 20061001
K0828 in HTML format HTML  |  K0828 in PDF (Portable Document Format) PDF  |  K0828 in plain Text format TXT
K0829 — Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more
Code added date: 20061001
Code effective date: 20061001
K0829 in HTML format HTML  |  K0829 in PDF (Portable Document Format) PDF  |  K0829 in plain Text format TXT
K0830 — Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0830 in HTML format HTML  |  K0830 in PDF (Portable Document Format) PDF  |  K0830 in plain Text format TXT
K0831 — Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0831 in HTML format HTML  |  K0831 in PDF (Portable Document Format) PDF  |  K0831 in plain Text format TXT
K0835 — Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0835 in HTML format HTML  |  K0835 in PDF (Portable Document Format) PDF  |  K0835 in plain Text format TXT
K0836 — Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0836 in HTML format HTML  |  K0836 in PDF (Portable Document Format) PDF  |  K0836 in plain Text format TXT
K0837 — Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0837 in HTML format HTML  |  K0837 in PDF (Portable Document Format) PDF  |  K0837 in plain Text format TXT
K0838 — Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0838 in HTML format HTML  |  K0838 in PDF (Portable Document Format) PDF  |  K0838 in plain Text format TXT
K0839 — Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0839 in HTML format HTML  |  K0839 in PDF (Portable Document Format) PDF  |  K0839 in plain Text format TXT
K0840 — Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more
Code added date: 20061001
Code effective date: 20061001
K0840 in HTML format HTML  |  K0840 in PDF (Portable Document Format) PDF  |  K0840 in plain Text format TXT
K0841 — Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0841 in HTML format HTML  |  K0841 in PDF (Portable Document Format) PDF  |  K0841 in plain Text format TXT
K0842 — Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0842 in HTML format HTML  |  K0842 in PDF (Portable Document Format) PDF  |  K0842 in plain Text format TXT
K0843 — Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0843 in HTML format HTML  |  K0843 in PDF (Portable Document Format) PDF  |  K0843 in plain Text format TXT
K0848 — Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0848 in HTML format HTML  |  K0848 in PDF (Portable Document Format) PDF  |  K0848 in plain Text format TXT
K0849 — Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0849 in HTML format HTML  |  K0849 in PDF (Portable Document Format) PDF  |  K0849 in plain Text format TXT
K0850 — Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0850 in HTML format HTML  |  K0850 in PDF (Portable Document Format) PDF  |  K0850 in plain Text format TXT
K0851 — Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0851 in HTML format HTML  |  K0851 in PDF (Portable Document Format) PDF  |  K0851 in plain Text format TXT
K0852 — Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0852 in HTML format HTML  |  K0852 in PDF (Portable Document Format) PDF  |  K0852 in plain Text format TXT
K0853 — Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0853 in HTML format HTML  |  K0853 in PDF (Portable Document Format) PDF  |  K0853 in plain Text format TXT
K0854 — Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
Code added date: 20061001
Code effective date: 20061001
K0854 in HTML format HTML  |  K0854 in PDF (Portable Document Format) PDF  |  K0854 in plain Text format TXT
K0855 — Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more
Code added date: 20061001
Code effective date: 20061001
K0855 in HTML format HTML  |  K0855 in PDF (Portable Document Format) PDF  |  K0855 in plain Text format TXT
K0856 — Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0856 in HTML format HTML  |  K0856 in PDF (Portable Document Format) PDF  |  K0856 in plain Text format TXT
K0857 — Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0857 in HTML format HTML  |  K0857 in PDF (Portable Document Format) PDF  |  K0857 in plain Text format TXT
K0858 — Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0858 in HTML format HTML  |  K0858 in PDF (Portable Document Format) PDF  |  K0858 in plain Text format TXT
K0859 — Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0859 in HTML format HTML  |  K0859 in PDF (Portable Document Format) PDF  |  K0859 in plain Text format TXT
K0860 — Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0860 in HTML format HTML  |  K0860 in PDF (Portable Document Format) PDF  |  K0860 in plain Text format TXT
K0861 — Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0861 in HTML format HTML  |  K0861 in PDF (Portable Document Format) PDF  |  K0861 in plain Text format TXT
K0862 — Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0862 in HTML format HTML  |  K0862 in PDF (Portable Document Format) PDF  |  K0862 in plain Text format TXT
K0863 — Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0863 in HTML format HTML  |  K0863 in PDF (Portable Document Format) PDF  |  K0863 in plain Text format TXT
K0864 — Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more
Code added date: 20061001
Code effective date: 20061001
K0864 in HTML format HTML  |  K0864 in PDF (Portable Document Format) PDF  |  K0864 in plain Text format TXT
K0868 — Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0868 in HTML format HTML  |  K0868 in PDF (Portable Document Format) PDF  |  K0868 in plain Text format TXT
K0869 — Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0869 in HTML format HTML  |  K0869 in PDF (Portable Document Format) PDF  |  K0869 in plain Text format TXT
K0870 — Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0870 in HTML format HTML  |  K0870 in PDF (Portable Document Format) PDF  |  K0870 in plain Text format TXT
K0871 — Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0871 in HTML format HTML  |  K0871 in PDF (Portable Document Format) PDF  |  K0871 in plain Text format TXT
K0877 — Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0877 in HTML format HTML  |  K0877 in PDF (Portable Document Format) PDF  |  K0877 in plain Text format TXT
K0878 — Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0878 in HTML format HTML  |  K0878 in PDF (Portable Document Format) PDF  |  K0878 in plain Text format TXT
K0879 — Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0879 in HTML format HTML  |  K0879 in PDF (Portable Document Format) PDF  |  K0879 in plain Text format TXT
K0880 — Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds
Code added date: 20061001
Code effective date: 20061001
K0880 in HTML format HTML  |  K0880 in PDF (Portable Document Format) PDF  |  K0880 in plain Text format TXT
K0884 — Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0884 in HTML format HTML  |  K0884 in PDF (Portable Document Format) PDF  |  K0884 in plain Text format TXT
K0885 — Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds
Code added date: 20061001
Code effective date: 20061001
K0885 in HTML format HTML  |  K0885 in PDF (Portable Document Format) PDF  |  K0885 in plain Text format TXT
K0886 — Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
Code added date: 20061001
Code effective date: 20061001
K0886 in HTML format HTML  |  K0886 in PDF (Portable Document Format) PDF  |  K0886 in plain Text format TXT
K0890 — Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds
Code added date: 20061001
Code effective date: 20061001
K0890 in HTML format HTML  |  K0890 in PDF (Portable Document Format) PDF  |  K0890 in plain Text format TXT
K0891 — Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds
Code added date: 20061001
Code effective date: 20061001
K0891 in HTML format HTML  |  K0891 in PDF (Portable Document Format) PDF  |  K0891 in plain Text format TXT
K0898 — Power wheelchair, not otherwise classified
Code added date: 20061001
Code effective date: 20061001
K0898 in HTML format HTML  |  K0898 in PDF (Portable Document Format) PDF  |  K0898 in plain Text format TXT
K0899 — Power mobility device, not coded by dme pdac or does not meet criteria
Code added date: 20061001
Code effective date: 20160101
K0899 in HTML format HTML  |  K0899 in PDF (Portable Document Format) PDF  |  K0899 in plain Text format TXT
K0900 — Customized durable medical equipment, other than wheelchair
Code added date: 20130701
Code effective date: 20130701
K0900 in HTML format HTML  |  K0900 in PDF (Portable Document Format) PDF  |  K0900 in plain Text format TXT
K0901 — Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
Code added date: 20141001
Code effective date: 20170101
K0901 in HTML format HTML  |  K0901 in PDF (Portable Document Format) PDF  |  K0901 in plain Text format TXT
K0902 — Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
Code added date: 20141001
Code effective date: 20170101
K0902 in HTML format HTML  |  K0902 in PDF (Portable Document Format) PDF  |  K0902 in plain Text format TXT
K0903 — For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
Code added date: 20180401
Code effective date: 20190101
K0903 in HTML format HTML  |  K0903 in PDF (Portable Document Format) PDF  |  K0903 in plain Text format TXT