HCPCS Code Section: HCPCS K Codes

Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each Short Description: Repl batt silver oxide 1.5 v Coverage Code: Carrier judgment Action Code: No …

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system Short Description: Ther cgm receiver/monitor Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service Short Description: Ther cgm supply allowance Coverage Code: …

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each Short Description: Sup/ext non-ins inf pump syr Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds Short Description: Pwc gp 1 std port cap chair Coverage Code: Carrier …

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds Short Description: Pwc gp 1 std port seat/back Coverage Code: …

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

Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds Short Description: Pov group 2 vhd 451-600 lbs Coverage Code: Carrier judgment Action Code: …

Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds Short Description: Pov group 2 hd 301-450 lbs Coverage Code: Carrier judgment Action Code: No …

Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds Short Description: Pov group 2 std up to 300lbs Coverage Code: Carrier judgment Action …