HCPCS Code Section: HCPCS K Codes

Customized durable medical equipment, other than wheelchair Short Description: Cstm dme other than wheelchr Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Power mobility device, not coded by dme pdac or does not meet criteria Short Description: Pow mobil dev no dmepdac Coverage Code: Carrier judgment Action Code: No maintenance for …

Power wheelchair, not otherwise classified Short Description: Power wheelchair noc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: October 1, 2006 Effective Date: October …

Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds Short Description: Pwc gp5 ped mult pow opt s/b Coverage …