DME MACs
136 HCPCS codes in Category K
K0001Standard wheelchairK0002Stnd hemi (low seat) whlchrK0003Lightweight wheelchairK0004High strength ltwt whlchrK0005Ultralightweight wheelchairK0006Heavy duty wheelchairK0007Extra heavy duty wheelchairK0008Cstm manual wheelchair/baseK0009Other manual wheelchair/baseK0010Stnd wt frame power whlchrK0011Stnd wt pwr whlchr w controlK0012Ltwt portbl power whlchrK0013Custom power whlchr baseK0014Other power whlchr baseK0015Detach non-adj ht armrst repK0017Detach adjust armrest baseK0018Detach adjust armrst upperK0019Arm pad repl, eachK0020Fixed adjust armrest pairK0037Hi mount flip-up footrest eaK0038Leg strap eachK0039Leg strap h style eachK0040Adjustable angle footplateK0041Large size footplate eachK0042Standard size ftplate rep eaK0043Ftrst lowr exten tube rep eaK0044Ftrst upr hanger brac rep eaK0045Ftrst compl assembly repl eaK0046Elev lgrst lwr exten repl eaK0047Elev legrst upr hangr rep eaK0050Ratchet assembly replacementK0051Cam rel asm ft/legrst rep eaK0052Swingaway detach ftrest replK0053Elevate footrest articulateK0056Seat ht <17 or >=21 ltwt wcK0065Spoke protectorsK0069Rr whl compl sol tire rep eaK0070Rr whl compl pne tire rep eaK0071Fr cstr comp pne tire rep eaK0072Fr cstr semi-pne tire rep eaK0073Caster pin lock eachK0077Fr cstr asmb sol tire rep eaK0098Drive belt for pwc, replK0105Iv hangerK0108W/c component-accessory nosK0195Elevating whlchair leg restsK0455Pump uninterrupted infusionK0462Temporary replacement eqpmntK0552Sup/ext non-ins inf pump syrK0553Ther cgm supply allowanceK0554Ther cgm receiver/monitorK0601Repl batt silver oxide 1.5 vK0602Repl batt silver oxide 3 vK0603Repl batt alkaline 1.5 vK0604Repl batt lithium 3.6 vK0605Repl batt lithium 4.5 vK0606Aed garment w elec analysisK0607Repl batt for aedK0608Repl garment for aedK0609Repl electrode for aedK0669Seat/back cus no dmepdac verK0672Removable soft interface leK0730Ctrl dose inh drug deliv sysK073312-24hr sealed lead acidK0738Portable gas oxygen systemK0739Repair/svc dme non-oxygen eqK0740Repair/svc oxygen equipmentK0743Portable home suction pumpK0744Absorp drg <= 16 suc pumpK0745Absorp drg >16<=48 suc pumpK0746Absorp drg >48 suc pumpK0800Pov group 1 std up to 300lbsK0801Pov group 1 hd 301-450 lbsK0802Pov group 1 vhd 451-600 lbsK0806Pov group 2 std up to 300lbsK0807Pov group 2 hd 301-450 lbsK0808Pov group 2 vhd 451-600 lbsK0812Power operated vehicle nocK0813Pwc gp 1 std port seat/backK0814Pwc gp 1 std port cap chairK0815Pwc gp 1 std seat/backK0816Pwc gp 1 std cap chairK0820Pwc gp 2 std port seat/backK0821Pwc gp 2 std port cap chairK0822Pwc gp 2 std seat/backK0823Pwc gp 2 std cap chairK0824Pwc gp 2 hd seat/backK0825Pwc gp 2 hd cap chairK0826Pwc gp 2 vhd seat/backK0827Pwc gp vhd cap chairK0828Pwc gp 2 xtra hd seat/backK0829Pwc gp 2 xtra hd cap chairK0830Pwc gp2 std seat elevate s/bK0831Pwc gp2 std seat elevate capK0835Pwc gp2 std sing pow opt s/bK0836Pwc gp2 std sing pow opt capK0837Pwc gp 2 hd sing pow opt s/bK0838Pwc gp 2 hd sing pow opt capK0839Pwc gp2 vhd sing pow opt s/bK0840Pwc gp2 xhd sing pow opt s/bK0841Pwc gp2 std mult pow opt s/bK0842Pwc gp2 std mult pow opt capK0843Pwc gp2 hd mult pow opt s/bK0848Pwc gp 3 std seat/backK0849Pwc gp 3 std cap chairK0850Pwc gp 3 hd seat/backK0851Pwc gp 3 hd cap chairK0852Pwc gp 3 vhd seat/backK0853Pwc gp 3 vhd cap chairK0854Pwc gp 3 xhd seat/backK0855Pwc gp 3 xhd cap chairK0856Pwc gp3 std sing pow opt s/bK0857Pwc gp3 std sing pow opt capK0858Pwc gp3 hd sing pow opt s/bK0859Pwc gp3 hd sing pow opt capK0860Pwc gp3 vhd sing pow opt s/bK0861Pwc gp3 std mult pow opt s/bK0862Pwc gp3 hd mult pow opt s/bK0863Pwc gp3 vhd mult pow opt s/bK0864Pwc gp3 xhd mult pow opt s/bK0868Pwc gp 4 std seat/backK0869Pwc gp 4 std cap chairK0870Pwc gp 4 hd seat/backK0871Pwc gp 4 vhd seat/backK0877Pwc gp4 std sing pow opt s/bK0878Pwc gp4 std sing pow opt capK0879Pwc gp4 hd sing pow opt s/bK0880Pwc gp4 vhd sing pow opt s/bK0884Pwc gp4 std mult pow opt s/bK0885Pwc gp4 std mult pow opt capK0886Pwc gp4 hd mult pow s/bK0890Pwc gp5 ped sing pow opt s/bK0891Pwc gp5 ped mult pow opt s/bK0898Power wheelchair nocK0899Pow mobil dev no dmepdacK0900Cstm dme other than wheelchr
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