HCPCS K codes
K0001 Standard wheelchairK0002 Standard hemi (low seat) wheelchairK0003 Lightweight wheelchairK0004 High strength, lightweight wheelchairK0005 Ultralightweight wheelchairK0006 Heavy duty wheelchairK0007 Extra heavy duty wheelchairK0008 Custom manual wheelchair/baseK0009 Other manual wheelchair/baseK0010 Standard - weight frame motorized/power wheelchairK0011 Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and brakingK0012 Lightweight portable motorized/power wheelchairK0013 Custom motorized/power wheelchair baseK0014 Other motorized/power wheelchair baseK0015 Detachable, non-adjustable height armrest, replacement only, eachK0017 Detachable, adjustable height armrest, base, replacement only, eachK0018 Detachable, adjustable height armrest, upper portion, replacement only, eachK0019 Arm pad, replacement only, eachK0020 Fixed, adjustable height armrest, pairK0037 High mount flip-up footrest, eachK0038 Leg strap, eachK0039 Leg strap, h style, eachK0040 Adjustable angle footplate, eachK0041 Large size footplate, eachK0042 Standard size footplate, replacement only, eachK0043 Footrest, lower extension tube, replacement only, eachK0044 Footrest, upper hanger bracket, replacement only, eachK0045 Footrest, complete assembly, replacement only, eachK0046 Elevating legrest, lower extension tube, replacement only, eachK0047 Elevating legrest, upper hanger bracket, replacement only, eachK0050 Ratchet assembly, replacement onlyK0051 Cam release assembly, footrest or legrest, replacement only, eachK0052 Swingaway, detachable footrests, replacement only, eachK0053 Elevating footrests, articulating (telescoping), eachK0056 Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchairK0065 Spoke protectors, eachK0069 Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, eachK0070 Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, eachK0071 Front caster assembly, complete, with pneumatic tire, replacement only, eachK0072 Front caster assembly, complete, with semi-pneumatic tire, replacement only, eachK0073 Caster pin lock, eachK0077 Front caster assembly, complete, with solid tire, replacement only, eachK0098 Drive belt for power wheelchair, replacement onlyK0105 Iv hanger, eachK0108 Wheelchair component or accessory, not otherwise specifiedK0195 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 typeK0552 Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, eachK0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceK0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor systemK0601 Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, eachK0602 Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, eachK0603 Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, eachK0604 Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, eachK0605 Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, eachK0606 Automatic external defibrillator, with integrated electrocardiogram analysis, garment typeK0607 Replacement battery for automated external defibrillator, garment type only, eachK0608 Replacement garment for use with automated external defibrillator, eachK0609 Replacement electrodes for use with automated external defibrillator, garment type only, eachK0669 Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdacK0672 Addition to lower extremity orthosis, removable soft interface, all components, replacement only, eachK0730 Controlled dose inhalation drug delivery systemK0733 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 tubingK0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutesK0740 Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutesK0743 Suction pump, home model, portable, for use on woundsK0744 Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or lessK0745 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 inchesK0746 Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inchesK0800 Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 poundsK0801 Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 poundsK0802 Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 poundsK0806 Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 poundsK0807 Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 poundsK0808 Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 poundsK0812 Power operated vehicle, not otherwise classifiedK0813 Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 poundsK0814 Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 poundsK0815 Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 poundsK0816 Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 poundsK0820 Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0821 Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 poundsK0822 Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 poundsK0824 Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0825 Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 poundsK0826 Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0827 Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 poundsK0828 Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or moreK0829 Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or moreK0830 Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0831 Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 poundsK0835 Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0836 Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 poundsK0837 Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0838 Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 poundsK0839 Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0840 Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or moreK0841 Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0842 Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 poundsK0843 Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0848 Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0849 Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 poundsK0850 Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0851 Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 poundsK0852 Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0853 Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 poundsK0854 Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or moreK0855 Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or moreK0856 Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0857 Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 poundsK0858 Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 poundsK0859 Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 poundsK0860 Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0861 Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0862 Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0863 Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0864 Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or moreK0868 Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0869 Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 poundsK0870 Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0871 Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0877 Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0878 Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 poundsK0879 Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0880 Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 poundsK0884 Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0885 Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 poundsK0886 Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0890 Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 poundsK0891 Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 poundsK0898 Power wheelchair, not otherwise classifiedK0899 Power mobility device, not coded by dme pdac or does not meet criteriaK0900 Customized durable medical equipment, other than wheelchairK0901 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-shelfK0902 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-shelfK0903 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, eachK1001 Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any typeK1002 Cranial electrotherapy stimulation (ces) system, any typeK1003 Whirlpool tub, walk-in, portableK1004 Low frequency ultrasonic diathermy treatment device for home useK1005 Disposable collection and storage bag for breast milk, any size, any type, eachK1006 Suction pump, home model, portable or stationary, electric, any type, for use with external urine management systemK1007 Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensorsK1009 Speech volume modulation system, any type, including all components and accessoriesK1010 Indwelling intraurethral drainage device with valve, patient inserted, replacement only, eachK1011 Activation device for intraurethral drainage device with valve, replacement only, eachK1012 Charger and base station for intraurethral activation device, replacement onlyK1013 Enema tube, with or without adapter, any type, replacement only, eachK1014 Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase controlK1015 Foot, adductus positioning device, adjustableK1016 Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerveK1017 Monthly supplies for use of device coded at k1016K1018 External upper limb tremor stimulator of the peripheral nerves of the wristK1019 Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wristK1020 Non-invasive vagus nerve stimulatorK1021 Exsufflation belt, includes all supplies and accessoriesK1022 Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any typeK1023 Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper armK1024 Non-pneumatic compression controller with sequential calibrated gradient pressureK1025 Non-pneumatic sequential compression garment, full armK1026 Mechanical allergen particle barrier/inhalation filter, cream, nasal, topicalK1027 Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustmentK1028 Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone applicationK1029 Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supplyK1030 External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement onlyK1031 Non-pneumatic compression controller without calibrated gradient pressureK1032 Non-pneumatic sequential compression garment, full legK1033 Non-pneumatic sequential compression garment, half legK1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test countK1035 Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or clearedK1036 Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per monthK1037 Docking station for use with oral device/appliance used to reduce upper airway collapsibility