HCPCS codes:K
- K0001 - Standard wheelchair.
- K0002 - Standard hemi (low seat) wheelchair.
- K0003 - Lightweight wheelchair.
- K0004 - High strength, lightweight wheelchair.
- K0005 - Ultralightweight wheelchair.
- K0006 - Heavy duty wheelchair.
- K0007 - Extra heavy duty wheelchair.
- K0008 - Custom manual wheelchair-base.
- K0009 - Other manual wheelchair-base.
- K0010 - Standard - weight frame motorized-power wheelchair.
- K0011 - Standard - weight frame motorized-power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking.
- K0012 - Lightweight portable motorized-power wheelchair.
- K0013 - Custom motorized-power wheelchair base.
- K0014 - Other motorized-power wheelchair base.
- K0015 - Detachable, non-adjustable height armrest, replacement only, each.
- K0017 - Detachable, adjustable height armrest, base, replacement only, each.
- K0018 - Detachable, adjustable height armrest, upper portion, replacement only, each.
- K0019 - Arm pad, replacement only, each.
- K0020 - Fixed, adjustable height armrest, pair.
- K0037 - High mount flip-up footrest, each.
- K0038 - Leg strap, each.
- K0039 - Leg strap, h style, each.
- K0040 - Adjustable angle footplate, each.
- K0041 - Large size footplate, each.
- K0042 - Standard size footplate, replacement only, each.
- K0043 - Footrest, lower extension tube, replacement only, each.
- K0044 - Footrest, upper hanger bracket, replacement only, each.
- K0045 - Footrest, complete assembly, replacement only, each.
- K0046 - Elevating legrest, lower extension tube, replacement only, each.
- K0047 - Elevating legrest, upper hanger bracket, replacement only, each.
- K0050 - Ratchet assembly, replacement only.
- K0051 - Cam release assembly, footrest or legrest, replacement only, each.
- K0052 - Swingaway, detachable footrests, replacement only, each.
- K0053 - Elevating footrests, articulating (telescoping), each.
- K0056 - Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair.
- K0065 - Spoke protectors, each.
- K0069 - Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each.
- K0070 - Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each.
- K0071 - Front caster assembly, complete, with pneumatic tire, replacement only, each.
- K0072 - Front caster assembly, complete, with semi-pneumatic tire, replacement only, each.
- K0073 - Caster pin lock, each.
- K0077 - Front caster assembly, complete, with solid tire, replacement only, each.
- K0098 - Drive belt for power wheelchair, replacement only.
- K0105 - Iv hanger, each.
- K0108 - Wheelchair component or accessory, not otherwise specified.
- K0195 - Elevating leg rests, pair (for use with capped rental wheelchair base).
- K0455 - Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol).
- K0462 - Temporary replacement for patient owned equipment being repaired, any type.
- K0552 - Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each.
- K0553 - Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service.
- K0554 - Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system.
- K0601 - Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each.
- K0602 - Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each.
- K0603 - Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each.
- K0604 - Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each.
- K0605 - Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each.
- K0606 - Automatic external defibrillator, with integrated electrocardiogram analysis, garment type.
- K0607 - Replacement battery for automated external defibrillator, garment type only, each.
- K0608 - Replacement garment for use with automated external defibrillator, each.
- K0609 - Replacement electrodes for use with automated external defibrillator, garment type only, each.
- K0669 - Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac.
- K0672 - Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each.
- K0730 - Controlled dose inhalation drug delivery system.
- K0733 - Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat).
- 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.
- K0739 - Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes.
- K0740 - Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes.
- K0743 - Suction pump, home model, portable, for use on wounds.
- K0744 - Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less.
- 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.
- K0746 - Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches.
- K0800 - Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds.
- K0801 - Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds.
- K0802 - Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds.
- K0806 - Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds.
- K0807 - Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds.
- K0808 - Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds.
- K0812 - Power operated vehicle, not otherwise classified.
- K0813 - Power wheelchair, group 1 standard, portable, sling-solid seat and back, patient weight capacity up to and including 300 pounds.
- K0814 - Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds.
- K0815 - Power wheelchair, group 1 standard, sling-solid seat and back, patient weight capacity up to and including 300 pounds.
- K0816 - Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds.
- K0820 - Power wheelchair, group 2 standard, portable, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0821 - Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds.
- K0822 - Power wheelchair, group 2 standard, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0823 - Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds.
- K0824 - Power wheelchair, group 2 heavy duty, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0825 - Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds.
- K0826 - Power wheelchair, group 2 very heavy duty, sling-solid seat-back, patient weight capacity 451 to 600 pounds.
- K0827 - Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds.
- K0828 - Power wheelchair, group 2 extra heavy duty, sling-solid seat-back, patient weight capacity 601 pounds or more.
- K0829 - Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more.
- K0830 - Power wheelchair, group 2 standard, seat elevator, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0831 - Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds.
- K0835 - Power wheelchair, group 2 standard, single power option, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0836 - Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds.
- K0837 - Power wheelchair, group 2 heavy duty, single power option, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0838 - Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds.
- K0839 - Power wheelchair, group 2 very heavy duty, single power option, sling-solid seat-back, patient weight capacity 451 to 600 pounds.
- K0840 - Power wheelchair, group 2 extra heavy duty, single power option, sling-solid seat-back, patient weight capacity 601 pounds or more.
- K0841 - Power wheelchair, group 2 standard, multiple power option, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0842 - Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds.
- K0843 - Power wheelchair, group 2 heavy duty, multiple power option, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0848 - Power wheelchair, group 3 standard, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0849 - Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds.
- K0850 - Power wheelchair, group 3 heavy duty, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0851 - Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds.
- K0852 - Power wheelchair, group 3 very heavy duty, sling-solid seat-back, patient weight capacity 451 to 600 pounds.
- K0853 - Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds.
- K0854 - Power wheelchair, group 3 extra heavy duty, sling-solid seat-back, patient weight capacity 601 pounds or more.
- K0855 - Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more.
- K0856 - Power wheelchair, group 3 standard, single power option, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0857 - Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds.
- K0858 - Power wheelchair, group 3 heavy duty, single power option, sling-solid seat-back, patient weight 301 to 450 pounds.
- K0859 - Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds.
- K0860 - Power wheelchair, group 3 very heavy duty, single power option, sling-solid seat-back, patient weight capacity 451 to 600 pounds.
- K0861 - Power wheelchair, group 3 standard, multiple power option, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0862 - Power wheelchair, group 3 heavy duty, multiple power option, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0863 - Power wheelchair, group 3 very heavy duty, multiple power option, sling-solid seat-back, patient weight capacity 451 to 600 pounds.
- K0864 - Power wheelchair, group 3 extra heavy duty, multiple power option, sling-solid seat-back, patient weight capacity 601 pounds or more.
- K0868 - Power wheelchair, group 4 standard, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0869 - Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds.
- K0870 - Power wheelchair, group 4 heavy duty, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0871 - Power wheelchair, group 4 very heavy duty, sling-solid seat-back, patient weight capacity 451 to 600 pounds.
- K0877 - Power wheelchair, group 4 standard, single power option, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0878 - Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds.
- K0879 - Power wheelchair, group 4 heavy duty, single power option, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0880 - Power wheelchair, group 4 very heavy duty, single power option, sling-solid seat-back, patient weight 451 to 600 pounds.
- K0884 - Power wheelchair, group 4 standard, multiple power option, sling-solid seat-back, patient weight capacity up to and including 300 pounds.
- K0885 - Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds.
- K0886 - Power wheelchair, group 4 heavy duty, multiple power option, sling-solid seat-back, patient weight capacity 301 to 450 pounds.
- K0890 - Power wheelchair, group 5 pediatric, single power option, sling-solid seat-back, patient weight capacity up to and including 125 pounds.
- K0891 - Power wheelchair, group 5 pediatric, multiple power option, sling-solid seat-back, patient weight capacity up to and including 125 pounds.
- K0898 - Power wheelchair, not otherwise classified.
- K0899 - Power mobility device, not coded by dme pdac or does not meet criteria.
- K0900 - Customized durable medical equipment, other than wheelchair.
- 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.
- 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.
- 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.
- 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..
- K1 - Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator..
- K2 - Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator..
- K3 - Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion..
- K4 - Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete..
- KA - Add on option-accessory for wheelchair.
- KB - Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim.
- KC - Replacement of special power wheelchair interface.
- KD - Drug or biological infused through dme.
- KE - Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment.
- KF - Item designated by fda as class iii device.
- KG - Dmepos item subject to dmepos competitive bidding program number 1.
- KH - Dmepos item, initial claim, purchase or first month rental.
- KI - Dmepos item, second or third month rental.
- KJ - Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen.
- KK - Dmepos item subject to dmepos competitive bidding program number 2.
- KL - Dmepos item delivered via mail.
- KM - Replacement of facial prosthesis including new impression-moulage.
- KN - Replacement of facial prosthesis using previous master model.
- KO - Single drug unit dose formulation.
- KP - First drug of a multiple drug unit dose formulation.
- KQ - Second or subsequent drug of a multiple drug unit dose formulation.
- KR - Rental item, billing for partial month.
- KS - Glucose monitor supply for diabetic beneficiary not treated with insulin.
- KT - Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item.
- KU - Dmepos item subject to dmepos competitive bidding program number 3.
- KV - Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service.
- KW - Dmepos item subject to dmepos competitive bidding program number 4.
- KX - Requirements specified in the medical policy have been met.
- KY - Dmepos item subject to dmepos competitive bidding program number 5.
- KZ - New coverage not implemented by managed care.
HCPCS codes
HCPCS codes starting with A - B - C - D - E - F - F - G - H - I - J - K - L - M - N - O - P - Q - R - S - T - U - V - W - X - Y - Z
External links[edit | edit source]
- HCPCS by the AAPC
- HCPCS Complete Reference
- HCPCS Level 2 codes 2020
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