For custom manual wheelchairs, if wheelchair base only is ordered, or if accessories are included with the base price, enter the appropriate HCPCS code. If accessories are not included with the base, order as K Do not itemize the accessories in the boxes on Form for either power wheelchairs or custom manual wheelchairs. · A custom manual wheelchair base (K) is covered if, in addition to the general coverage criteria above, the specific configuration required to address the beneficiary’s physical and/or functional deficits cannot be met using one of the standard manual wheelchair bases plus an appropriate combination of wheelchair seating systems, cushions, options or accessories . · Wheelchair Base Claims for HCPCS codes K (custom manual wheelchair/base) and K (custom motorized, power wheelchair base) must be billed with modifiers NU or RB. Power Wheelchair Interface HCPCS codes E, E, E, E and E are special power wheelchair interface procedure codes.
contractors shall process claims for custom manual wheelchair bases billed under HCPCS code K based on their individual consideration of each claim and using the criteria set forth in regulations at 42 CFR Section and in Pub. , Medicare Claims Processing Manual, chapter 20, section X X X. Custom manual wheelchair/base K - HCPCS Codes - Codify by AAPC. Home. Codes. HCPCS. HCPCS Codes. Durable medical equipment (DME) Medicare administrative contractors (MACs) KK Wheelchairs, Components, and Accessories KK Custom manual wheelchair/base. K Claims for a Custom Manual Wheelchair (K) A unique individual manual wheelchair base is required because the specific configuration required to address the beneficiary’s physical and/or functional deficits cannot be met using one of the standard manual wheelchair bases plus an appropriate combination of wheelchair.
1 Extra heavy-duty wheelchair. K Custom manual wheelchair/base. K Other manual wheelchair/base. Accessories. HCPCS Codes. A custom manual wheelchair base (K) is covered if, in addition to the general coverage criteria above, the specific configuration required to address. 15 G. Other manual wheelchair/base (K) meets the definition of medical H. A custom wheelchair base (E, E, E, E
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