Table of content for "High strength ltwt whlchr" (HCPCS K0004)
General information on the “K0004” code
HCPCS Code: K0004
Long Description: High strength, lightweight wheelchair
Short Description: High strength ltwt whlchr
Original information is taken from K0004 page
Pricing indicators
Pricing Indicator Code 1: 36 – Capped rental DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1D – Wheelchairs
Type Of Service 1: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19940101
Code Effective Date: 19940101
Action Code: N – No maintenance for this code