HCPCS Code Section: HCPCS K Codes

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 …

Leg strap, h style, each Short Description: Leg strap h style each Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective …

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

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

Ultralightweight wheelchair Short Description: Ultralightweight 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 mount flip-up footrest, each Short Description: Hi mount flip-up footrest ea Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective …