Temporary K codes are developed by the DME MACs to report supplies and other products for which a national code has not yet been developed. Payment jurisdiction lies with the DME MACs unless otherwise specified.


  • K0001

    Standard wheelchair
  • K0002

    Standard hemi (low seat) wheelchair
  • K0003

    Lightweight wheelchair
  • K0004

    High strength, lightweight wheelchair
  • K0005

    Ultralightweight wheelchair
  • K0006

    Heavy duty wheelchair
  • K0007

    Extra heavy duty wheelchair
  • K0008

    Custom manual wheelchair/base
  • K0009

    Other manual wheelchair/base
  • K0010

    Standard - weight frame motorized/power wheelchair


  • Continued
  • K0011

    Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
  • K0012

    Lightweight portable motorized/power wheelchair
  • K0013

    Custom motorized/power wheelchair base
  • K0014

    Other motorized/power wheelchair base
  • K0015

    Detachable, non-adjustable height armrest, replacement only, each
  • K0017

    Detachable, adjustable height armrest, base, replacement only, each
  • K0018

    Detachable, adjustable height armrest, upper portion, replacement only, each
  • K0019

    Arm pad, replacement only, each
  • K0020

    Fixed, adjustable height armrest, pair
  • K0037

    High mount flip-up footrest, replacement only, each
  • K0038

    Leg strap, each
  • K0039

    Leg strap, h style, each
  • K0040

    Adjustable angle footplate, each
  • K0041

    Large size footplate, each
  • K0042

    Standard size footplate, replacement only, each
  • K0043

    Footrest, lower extension tube, replacement only, each
  • K0044

    Footrest, upper hanger bracket, replacement only, each
  • K0045

    Footrest, complete assembly, replacement only, each
  • K0046

    Elevating legrest, lower extension tube, replacement only, each
  • K0047

    Elevating legrest, upper hanger bracket, replacement only, each
  • K0050

    Ratchet assembly, replacement only
  • K0051

    Cam release assembly, footrest or legrest, replacement only, each
  • K0052

    Swingaway, detachable footrests, replacement only, each
  • K0053

    Elevating footrests, articulating (telescoping), each
  • K0056

    Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair
  • K0065

    Spoke protectors, each
  • K0069

    Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each
  • K0070

    Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each
  • K0071

    Front caster assembly, complete, with pneumatic tire, replacement only, each
  • K0072

    Front caster assembly, complete, with semi-pneumatic tire, replacement only, each
  • K0073

    Caster pin lock, each
  • K0077

    Front caster assembly, complete, with solid tire, replacement only, each
  • K0098

    Drive belt for power wheelchair, replacement only
  • K0105

    Iv hanger, each
  • K0108

    Wheelchair component or accessory, not otherwise specified
  • K0195

    Elevating leg rests, pair (for use with capped rental wheelchair base)
  • K0455

    Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)
  • K0462

    Temporary replacement for patient owned equipment being repaired, any type
  • K0552

    Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each
  • K0601

    Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each