HCPCS Code Section: HCPCS K Codes

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 …

Fixed, adjustable height armrest, pair Short Description: Fixed adjust armrest pair Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: …

Arm pad, replacement only, each Short Description: Arm pad repl, each Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: …

Swingaway, detachable footrests, replacement only, each Short Description: Swingaway detach ftrest repl Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective …

Cam release assembly, footrest or legrest, replacement only, each Short Description: Cam rel asm ft/legrst rep ea Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Ratchet assembly, replacement only Short Description: Ratchet assembly replacement Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, …

Elevating legrest, upper hanger bracket, replacement only, each Short Description: Elev legrst upr hangr rep ea Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Elevating legrest, lower extension tube, replacement only, each Short Description: Elev lgrst lwr exten repl ea Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Iv hanger, each Short Description: Iv hanger Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1994 Effective Date: January 1, 2000 Termination …