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HCPCS Range Wheelchairs, Components, and Accessories

• 1 Standard wheelchair ( K0001 )

• 2 Standard hemi (low seat) wheelchair ( K0002 )

• 3 Lightweight wheelchair ( K0003 )

• 4 High strength, lightweight wheelchair ( K0004 )

• 5 Ultralightweight wheelchair ( K0005 )

• 6 Heavy duty wheelchair ( K0006 )

• 7 Extra heavy duty wheelchair ( K0007 )

• 8 Custom manual wheelchair/base ( K0008 )

• 9 Other manual wheelchair/base ( K0009 )

• 10 Standard - weight frame motorized/power wheelchair ( K0010 )

• 11 Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ( K0011 )

• 12 Lightweight portable motorized/power wheelchair ( K0012 )

• 13 Custom motorized/power wheelchair base ( K0013 )

• 14 Other motorized/power wheelchair base ( K0014 )

• 15 Detachable, non-adjustable height armrest, each ( K0015 )

• 16 Detachable, adjustable height armrest, base, replacement only, each ( K0017 )

• 17 Detachable, adjustable height armrest, upper portion, replacement only, each ( K0018 )

• 18 Arm pad, replacement only, each ( K0019 )

• 19 Fixed, adjustable height armrest, pair ( K0020 )

• 20 High mount flip-up footrest, each ( K0037 )

• 21 Leg strap, each ( K0038 )

• 22 Leg strap, H style, each ( K0039 )

• 23 Adjustable angle footplate, each ( K0040 )

• 24 Large size footplate, each ( K0041 )

• 25 Standard size footplate, replacement only, each ( K0042 )

• 26 Footrest, lower extension tube, replacement only, each ( K0043 )

• 27 Footrest, upper hanger bracket, replacement only, each ( K0044 )

• 28 Footrest, complete assembly, replacement only, each ( K0045 )

• 29 Elevating legrest, lower extension tube, replacement only, each ( K0046 )

• 30 Elevating legrest, upper hanger bracket, replacement only, each ( K0047 )

• 31 Ratchet assembly, replacement only ( K0050 )

• 32 Cam release assembly, footrest or legrest, replacement only, each ( K0051 )

• 33 Swingaway, detachable footrests, replacement only, each ( K0052 )

• 34 Elevating footrests, articulating (telescoping), each ( K0053 )

• 35 Seat height less than 17 inch or equal to or greater than 21 inch for a high strength, lightweight, or ultralightweight wheelchair ( K0056 )

• 36 Spoke protectors, each ( K0065 )

• 37 Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each ( K0069 )

• 38 Rear wheel assembly, complete, with pneumatic tire, spokes or molded, each ( K0070 )

• 39 Front caster assembly, complete, with pneumatic tire, replacement only, each ( K0071 )

• 40 Front caster assembly, complete, with semi-pneumatic tire, replacement only, each ( K0072 )

• 41 Caster pin lock, each ( K0073 )

• 42 Front caster assembly, complete, with solid tire, replacement only, each ( K0077 )

• 43 Drive belt for power wheelchair, replacement only ( K0098 )

• 44 IV hanger, each ( K0105 )

• 45 Wheelchair component or accessory, not otherwise specified ( K0108 )

• 46 Elevating leg rests, pair (for use with capped rental wheelchair base) ( K0195 )