Question 1

What is HCPCS code K0853?

Accepted Answer

HCPCS code K0853 is "Pwc gp 3 vhd cap chair". Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds

Question 2

What category is K0853 in?

Accepted Answer

K0853 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0853?

Accepted Answer

Use K0853 when billing for pwc gp 3 vhd cap chair. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is K0853 covered by Medicare?

Accepted Answer

Coverage for K0853 (Pwc gp 3 vhd cap chair) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for K0853?

Accepted Answer

Documentation for K0853 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).