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K-code: Temporary codes for DME MACs Temporary codes for DME MACs

175 codes

Billing context

K-codes are temporary codes used by DME Medicare Administrative Contractors.
K-codes, page 1 of 2
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
K0001Standard wheelchair—Jan 1, 1994Active
K0002Standard hemi (low seat) wheelchair—Jan 1, 1994Active
K0003Lightweight wheelchair—Jan 1, 1994Active
K0004High strength, lightweight wheelchair—Jan 1, 1994Active
K0005Ultralightweight wheelchair—Jan 1, 1994Active
K0006Heavy duty wheelchair—Jan 1, 1994Active
K0007Extra heavy duty wheelchair—Jan 1, 1994Active
K0008Custom manual wheelchair/base—Jul 1, 2013Active
K0009Other manual wheelchair/base—Jan 1, 1994Active
K0010Standard - weight frame motorized/power wheelchair—Jan 1, 1994Active
K0011Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking—Jan 1, 1994Active
K0012Lightweight portable motorized/power wheelchair—Jan 1, 1994Active
K0013Custom motorized/power wheelchair base—Jul 1, 2013Active
K0014Other motorized/power wheelchair base—Jan 1, 1994Active
K0015Detachable, non-adjustable height armrest, replacement only, each—Jan 1, 1994Active
K0017Detachable, adjustable height armrest, base, replacement only, each—Jan 1, 1994Active
K0018Detachable, adjustable height armrest, upper portion, replacement only, each—Jan 1, 1994Active
K0019Arm pad, replacement only, each—Jan 1, 1994Active
K0020Fixed, adjustable height armrest, pair—Jan 1, 1994Active
K0037High mount flip-up footrest, each—Jan 1, 1994Active
K0038Leg strap, each—Jan 1, 1994Active
K0039Leg strap, h style, each—Jan 1, 1994Active
K0040Adjustable angle footplate, each—Jan 1, 1994Active
K0041Large size footplate, each—Jan 1, 1994Active
K0042Standard size footplate, replacement only, each—Jan 1, 1994Active
K0043Footrest, lower extension tube, replacement only, each—Jan 1, 1994Active
K0044Footrest, upper hanger bracket, replacement only, each—Jan 1, 1994Active
K0045Footrest, complete assembly, replacement only, each—Jan 1, 1994Active
K0046Elevating legrest, lower extension tube, replacement only, each—Jan 1, 1994Active
K0047Elevating legrest, upper hanger bracket, replacement only, each—Jan 1, 1994Active
K0050Ratchet assembly, replacement only—Jan 1, 1994Active
K0051Cam release assembly, footrest or legrest, replacement only, each—Jan 1, 1994Active
K0052Swingaway, detachable footrests, replacement only, each—Jan 1, 1994Active
K0053Elevating footrests, articulating (telescoping), each—Jan 1, 1994Active
K0056Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair—Jan 1, 1994Active
K0065Spoke protectors, each—Jan 1, 1994Active
K0069Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each—Jan 1, 1994Active
K0070Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each—Jan 1, 1994Active
K0071Front caster assembly, complete, with pneumatic tire, replacement only, each—Jan 1, 1994Active
K0072Front caster assembly, complete, with semi-pneumatic tire, replacement only, each—Jan 1, 1994Active
K0073Caster pin lock, each—Jan 1, 1994Active
K0077Front caster assembly, complete, with solid tire, replacement only, each—Jan 1, 1994Active
K0098Drive belt for power wheelchair, replacement only—Jan 1, 1994Active
K0105Iv hanger, each—Jan 1, 1994Active
K0108Wheelchair component or accessory, not otherwise specifiedNOC / NOS—Jan 1, 1994Active
K0195Elevating leg rests, pair (for use with capped rental wheelchair base)—Jan 1, 1993Active
K0455Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)—Jan 1, 1998Active
K0462Temporary replacement for patient owned equipment being repaired, any type—Jul 1, 1998Active
K0552Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each—Jul 1, 2003Active
K0553Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service—Jul 1, 2017Ended Dec 31, 2022
K0554Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system—Jul 1, 2017Ended Dec 31, 2022
K0601Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each—Apr 1, 2003Active
K0602Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each—Apr 1, 2003Active
K0603Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each—Apr 1, 2003Active
K0604Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each—Apr 1, 2003Active
K0605Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each—Apr 1, 2003Active
K0606Automatic external defibrillator, with integrated electrocardiogram analysis, garment type—Jul 1, 2003Active
K0607Replacement battery for automated external defibrillator, garment type only, each—Jul 1, 2003Active
K0608Replacement garment for use with automated external defibrillator, each—Jul 1, 2003Active
K0609Replacement electrodes for use with automated external defibrillator, garment type only, each—Jul 1, 2003Active
K0669Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac—Jul 1, 2004Active
K0672Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each—Apr 1, 2008Active
K0730Controlled dose inhalation drug delivery system—Jul 1, 2005Active
K0733Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)—Jul 1, 2006Active
K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing—Oct 1, 2006Active
K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes—Apr 1, 2009Active
K0740Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes—Apr 1, 2009Active
K0743Suction pump, home model, portable, for use on wounds—Jul 1, 2011Active
K0744Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less—Jul 1, 2011Active
K0745Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches—Jul 1, 2011Active
K0746Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches—Jul 1, 2011Active
K0800Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0801Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds—Oct 1, 2006Active
K0802Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds—Oct 1, 2006Active
K0806Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0807Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds—Oct 1, 2006Active
K0808Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds—Oct 1, 2006Active
K0812Power operated vehicle, not otherwise classifiedNOC / NOS—Oct 1, 2006Active
K0813Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0814Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0815Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0816Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0820Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0821Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0822Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0823Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0824Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds—Oct 1, 2006Active
K0825Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds—Oct 1, 2006Active
K0826Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds—Oct 1, 2006Active
K0827Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds—Oct 1, 2006Active
K0828Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more—Oct 1, 2006Active
K0829Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more—Oct 1, 2006Active
K0830Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0831Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0835Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0836Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds—Oct 1, 2006Active
K0837Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds—Oct 1, 2006Active
K0838Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds—Oct 1, 2006Active
K0839Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds—Oct 1, 2006Active
K0840Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more—Oct 1, 2006Active