Table of content for "Pwc gp3 xhd mult pow opt s/b" (HCPCS K0864)
General information on the “K0864” code
HCPCS Code: K0864
Long Description: Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more
Short Description: Pwc gp3 xhd mult pow opt s/b
Original information is taken from K0864 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: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20061001
Code Effective Date: 20061001
Action Code: N – No maintenance for this code