HCPCS Code Section: HCPCS K Codes

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 …

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:

Standard – weight frame motorized/power wheelchair Short Description: Stnd wt frame power whlchr Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 …

Other manual wheelchair/base Short Description: Other manual wheelchair/base Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: July 1, 2013 …

Large size footplate, each Short Description: Large size footplate each Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January …

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

Adjustable angle footplate, each Short Description: Adjustable angle footplate Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, …

Extra heavy duty wheelchair Short Description: Extra heavy duty wheelchair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January …