Table of content for "Pwc gp5 ped sing pow opt s/b" (HCPCS K0890)
General information on the “K0890” code
HCPCS Code: K0890
Long Description: Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds
Short Description: Pwc gp5 ped sing pow opt s/b
Original information is taken from K0890 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