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Procedure Codes
/
HCPCS Level II
/
Temporary Codes for Durable Medical Equipment
/
K0001–K0900
K0108
Wheelchair component or accessory, not otherwise specified
Back
K0001
Standard wheelchair
→
K0002
Standard hemi (low seat) wheelchair
→
K0003
Lightweight wheelchair
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K0004
High strength, lightweight wheelchair
→
K0005
Ultralightweight wheelchair
→
K0006
Heavy duty wheelchair
→
K0007
Extra heavy duty wheelchair
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K0008
Custom manual wheelchair/base
→
K0009
Other manual wheelchair/base
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K0010
Standard - weight frame motorized/power wheelchair
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K0011
Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
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K0012
Lightweight portable motorized/power wheelchair
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K0013
Custom motorized/power wheelchair base
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K0014
Other motorized/power wheelchair base
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K0015
Detachable, non-adjustable height armrest, replacement only, each
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K0017
Detachable, adjustable height armrest, base, replacement only, each
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K0018
Detachable, adjustable height armrest, upper portion, replacement only, each
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K0019
Arm pad, replacement only, each
→
K0020
Fixed, adjustable height armrest, pair
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K0037
High mount flip-up footrest, each
→
K0038
Leg strap, each
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K0039
Leg strap, h style, each
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K0040
Adjustable angle footplate, each
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K0041
Large size footplate, each
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K0042
Standard size footplate, replacement only, each
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K0043
Footrest, lower extension tube, replacement only, each
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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
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K0050
Ratchet assembly, replacement only
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K0051
Cam release assembly, footrest or legrest, replacement only, each
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K0052
Swingaway, detachable footrests, replacement only, each
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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
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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
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K0602
Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each
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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
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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
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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
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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
→
Procedure code
CODABLE
K0108
Wheelchair component or accessory, not otherwise specified
Part
HCPCS Level II
K
Temporary Codes for Durable Medical Equipment
K0
K0001–K0900
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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