HCPCS Code Section: HCPCS K Codes

Standard wheelchair Short Description: Standard wheelchair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, 1994 Termination Date:

High strength, lightweight wheelchair Short Description: High strength ltwt whlchr Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January …

Lightweight wheelchair Short Description: Lightweight wheelchair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, 1994 Termination Date:

Standard hemi (low seat) wheelchair Short Description: Stnd hemi (low seat) whlchr Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective …

Detachable, adjustable height armrest, upper portion, replacement only, each Short Description: Detach adjust armrst upper Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Detachable, adjustable height armrest, base, replacement only, each Short Description: Detach adjust armrest base Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Detachable, non-adjustable height armrest, replacement only, each Short Description: Detach non-adj ht armrst rep Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Other motorized/power wheelchair base Short Description: Other power whlchr base Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January …

Custom motorized/power wheelchair base Short Description: Custom power whlchr base Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2013 Effective …

Lightweight portable motorized/power wheelchair Short Description: Ltwt portbl power whlchr Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: May …