K Codes

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, replacement only, 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

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

 

 

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