Question 1

What is HCPCS code K0886?

Accepted Answer

HCPCS code K0886 is "Pwc gp4 hd mult pow s/b". Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

Question 2

What category is K0886 in?

Accepted Answer

K0886 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0886?

Accepted Answer

Use K0886 when billing for pwc gp4 hd mult pow s/b. 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 K0886 covered by Medicare?

Accepted Answer

Coverage for K0886 (Pwc gp4 hd mult pow s/b) 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 K0886?

Accepted Answer

Documentation for K0886 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).