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.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| K0841 | Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0842 | Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0843 | Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0848 | Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0849 | Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0850 | Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0851 | Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0852 | Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds | — | Oct 1, 2006 | Active |
| K0853 | Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds | — | Oct 1, 2006 | Active |
| K0854 | Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more | — | Oct 1, 2006 | Active |
| K0855 | Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more | — | Oct 1, 2006 | Active |
| K0856 | Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0857 | Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0858 | Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0859 | Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0860 | Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds | — | Oct 1, 2006 | Active |
| K0861 | Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0862 | Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0863 | Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds | — | Oct 1, 2006 | Active |
| K0864 | Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more | — | Oct 1, 2006 | Active |
| K0868 | Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0869 | Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0870 | Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0871 | Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds | — | Oct 1, 2006 | Active |
| K0877 | Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0878 | Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0879 | Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0880 | Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds | — | Oct 1, 2006 | Active |
| K0884 | Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0885 | Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds | — | Oct 1, 2006 | Active |
| K0886 | Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds | — | Oct 1, 2006 | Active |
| K0890 | Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds | — | Oct 1, 2006 | Active |
| K0891 | Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds | — | Oct 1, 2006 | Active |
| K0898 | Power wheelchair, not otherwise classifiedNOC / NOS | — | Oct 1, 2006 | Active |
| K0899 | Power mobility device, not coded by dme pdac or does not meet criteria | — | Oct 1, 2006 | Active |
| K0900 | Customized durable medical equipment, other than wheelchair | — | Jul 1, 2013 | Active |
| K0901 | Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | — | Oct 1, 2014 | Ended Dec 31, 2016 |
| K0902 | Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf | — | Oct 1, 2014 | Ended Dec 31, 2016 |
| K0903 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | — | Apr 1, 2018 | Ended Dec 31, 2018 |
| K1001 | Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type | — | Jan 1, 2020 | Ended Dec 31, 2023 |
| K1002 | Cranial electrotherapy stimulation (ces) system, any type | — | Jan 1, 2020 | Ended Dec 31, 2023 |
| K1003 | Whirlpool tub, walk-in, portable | — | Jan 1, 2020 | Ended Dec 31, 2023 |
| K1004 | Low frequency ultrasonic diathermy treatment device for home use | — | Jan 1, 2020 | Active |
| K1005 | Disposable collection and storage bag for breast milk, any size, any type, each | — | Jan 1, 2020 | Ended Dec 31, 2023 |
| K1006 | Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system | — | Oct 1, 2020 | Ended Dec 31, 2023 |
| K1007 | Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors | — | Oct 1, 2020 | Active |
| K1009 | Speech volume modulation system, any type, including all components and accessories | — | Oct 1, 2020 | Ended Dec 31, 2023 |
| K1010 | Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each | — | Oct 1, 2020 | Ended Mar 31, 2021 |
| K1011 | Activation device for intraurethral drainage device with valve, replacement only, each | — | Oct 1, 2020 | Ended Mar 31, 2021 |
| K1012 | Charger and base station for intraurethral activation device, replacement only | — | Oct 1, 2020 | Ended Mar 31, 2021 |
| K1013 | Enema tube, with or without adapter, any type, replacement only, each | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1014 | Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1015 | Foot, adductus positioning device, adjustable | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1016 | Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1017 | Monthly supplies for use of device coded at k1016 | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1018 | External upper limb tremor stimulator of the peripheral nerves of the wrist | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1019 | Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1020 | Non-invasive vagus nerve stimulator | — | Apr 1, 2021 | Ended Dec 31, 2023 |
| K1021 | Exsufflation belt, includes all supplies and accessories | — | Oct 1, 2021 | Ended Dec 31, 2023 |
| K1022 | Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type | — | Oct 1, 2021 | Ended Dec 31, 2023 |
| K1023 | Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm | — | Oct 1, 2021 | Ended Dec 31, 2023 |
| K1024 | Non-pneumatic compression controller with sequential calibrated gradient pressure | — | Oct 1, 2021 | Ended Dec 31, 2023 |
| K1025 | Non-pneumatic sequential compression garment, full arm | — | Oct 1, 2021 | Ended Dec 31, 2023 |
| K1026 | Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical | — | Oct 1, 2021 | Ended Dec 31, 2023 |
| K1027 | Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment | — | Oct 1, 2021 | Active |
| K1028 | Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application | — | Apr 1, 2022 | Ended Dec 31, 2023 |
| K1029 | Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply | — | Apr 1, 2022 | Ended Dec 31, 2023 |
| K1030 | External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only | — | Apr 1, 2022 | Active |
| K1031 | Non-pneumatic compression controller without calibrated gradient pressure | — | Apr 1, 2022 | Ended Dec 31, 2023 |
| K1032 | Non-pneumatic sequential compression garment, full leg | — | Apr 1, 2022 | Ended Dec 31, 2023 |
| K1033 | Non-pneumatic sequential compression garment, half leg | — | Apr 1, 2022 | Ended Dec 31, 2023 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | — | Apr 4, 2022 | Active |
| K1035 | Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared | — | Apr 1, 2023 | Active |
| K1036 | Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month | — | Oct 1, 2023 | Active |
| K1037 | Docking station for use with oral device/appliance used to reduce upper airway collapsibility | — | Apr 1, 2024 | Active |