Emergency: 119
AMDA-IMIC

Section K: Temporary Codes for DME

142 procedure codes. CMS quarterly release — October 2026.

HCPCS Level II codes are updated quarterly by CMS. This listing reflects the October 2026 quarterly release.
Code Description Pricing
K0001 Standard wheelchair 36
K0002 Stnd hemi (low seat) whlchr 36
K0003 Lightweight wheelchair 36
K0004 High strength ltwt whlchr 36
K0005 Ultralightweight wheelchair 32
K0006 Heavy duty wheelchair 36
K0007 Extra heavy duty wheelchair 36
K0008 Cstm manual wheelchair/base 45
K0009 Other manual wheelchair/base 36
K0010 Stnd wt frame power whlchr 36
K0011 Stnd wt pwr whlchr w control 36
K0012 Ltwt portbl power whlchr 36
K0013 Custom power whlchr base 45
K0014 Other power whlchr base 36
K0015 Detach non-adj ht armrst rep 36
K0017 Detach adjust armrest base 32
K0018 Detach adjust armrst upper 32
K0019 Arm pad repl, each 32
K0020 Fixed adjust armrest pair 32
K0037 Hi mount flip-up footrest ea 32
K0038 Leg strap each 32
K0039 Leg strap h style each 32
K0040 Adjustable angle footplate 32
K0041 Large size footplate each 32
K0042 Standard size ftplate rep ea 32
K0043 Ftrst lowr exten tube rep ea 32
K0044 Ftrst upr hanger brac rep ea 32
K0045 Ftrst compl assembly repl ea 32
K0046 Elev lgrst lwr exten repl ea 32
K0047 Elev legrst upr hangr rep ea 32
K0050 Ratchet assembly replacement 32
K0051 Cam rel asm ft/legrst rep ea 32
K0052 Swingaway detach ftrest repl 32
K0053 Elevate footrest articulate 32
K0056 Seat ht <17 or >=21 ltwt wc 32
K0065 Spoke protectors 32
K0069 Rr whl compl sol tire rep ea 32
K0070 Rr whl compl pne tire rep ea 36
K0071 Fr cstr comp pne tire rep ea 32
K0072 Fr cstr semi-pne tire rep ea 32
K0073 Caster pin lock each 32
K0077 Fr cstr asmb sol tire rep ea 32
K0098 Drive belt for pwc, repl 32
K0105 Iv hanger 32
K0108 W/c component-accessory nos 46
K0195 Elevating whlchair leg rests 36
K0455 Pump uninterrupted infusion 31
K0462 Temporary replacement eqpmnt 32
K0552 Sup/ext non-ins inf pump syr 34
K0601 Repl batt silver oxide 1.5 v 32
K0602 Repl batt silver oxide 3 v 32
K0603 Repl batt alkaline 1.5 v 32
K0604 Repl batt lithium 3.6 v 32
K0605 Repl batt lithium 4.5 v 32
K0606 Aed garment w elec analysis 36
K0607 Repl batt for aed 36
K0608 Repl garment for aed 32
K0609 Repl electrode for aed 34
K0669 Seat/back cus no dmepdac ver 32
K0672 Removable soft interface le 38
K0730 Ctrl dose inh drug deliv sys 36
K0733 12-24hr sealed lead acid 32
K0738 Portable gas oxygen system 33
K0739 Repair/svc dme non-oxygen eq 46
K0740 Repair/svc oxygen equipment 00
K0743 Portable home suction pump 36
K0744 Absorp drg <= 16 suc pump 34
K0745 Absorp drg >16<=48 suc pump 34
K0746 Absorp drg >48 suc pump 34
K0800 Pov group 1 std up to 300lbs 32
K0801 Pov group 1 hd 301-450 lbs 32
K0802 Pov group 1 vhd 451-600 lbs 32
K0806 Pov group 2 std up to 300lbs 32
K0807 Pov group 2 hd 301-450 lbs 32
K0808 Pov group 2 vhd 451-600 lbs 32
K0812 Power operated vehicle noc 32
K0813 Pwc gp 1 std port seat/back 36
K0814 Pwc gp 1 std port cap chair 36
K0815 Pwc gp 1 std seat/back 36
K0816 Pwc gp 1 std cap chair 36
K0820 Pwc gp 2 std port seat/back 36
K0821 Pwc gp 2 std port cap chair 36
K0822 Pwc gp 2 std seat/back 36
K0823 Pwc gp 2 std cap chair 36
K0824 Pwc gp 2 hd seat/back 36
K0825 Pwc gp 2 hd cap chair 36
K0826 Pwc gp 2 vhd seat/back 36
K0827 Pwc gp vhd cap chair 36
K0828 Pwc gp 2 xtra hd seat/back 36
K0829 Pwc gp 2 xtra hd cap chair 36
K0830 Pwc gp2 std seat elevate s/b 36
K0831 Pwc gp2 std seat elevate cap 36
K0835 Pwc gp2 std sing pow opt s/b 36
K0836 Pwc gp2 std sing pow opt cap 36
K0837 Pwc gp 2 hd sing pow opt s/b 36
K0838 Pwc gp 2 hd sing pow opt cap 36
K0839 Pwc gp2 vhd sing pow opt s/b 36
K0840 Pwc gp2 xhd sing pow opt s/b 36
K0841 Pwc gp2 std mult pow opt s/b 36
K0842 Pwc gp2 std mult pow opt cap 36
K0843 Pwc gp2 hd mult pow opt s/b 36
K0848 Pwc gp 3 std seat/back 36
K0849 Pwc gp 3 std cap chair 36
K0850 Pwc gp 3 hd seat/back 36
K0851 Pwc gp 3 hd cap chair 36
K0852 Pwc gp 3 vhd seat/back 36
K0853 Pwc gp 3 vhd cap chair 36
K0854 Pwc gp 3 xhd seat/back 36
K0855 Pwc gp 3 xhd cap chair 36
K0856 Pwc gp3 std sing pow opt s/b 36
K0857 Pwc gp3 std sing pow opt cap 36
K0858 Pwc gp3 hd sing pow opt s/b 36
K0859 Pwc gp3 hd sing pow opt cap 36
K0860 Pwc gp3 vhd sing pow opt s/b 36
K0861 Pwc gp3 std mult pow opt s/b 36
K0862 Pwc gp3 hd mult pow opt s/b 36
K0863 Pwc gp3 vhd mult pow opt s/b 36
K0864 Pwc gp3 xhd mult pow opt s/b 36
K0868 Pwc gp 4 std seat/back 36
K0869 Pwc gp 4 std cap chair 36
K0870 Pwc gp 4 hd seat/back 36
K0871 Pwc gp 4 vhd seat/back 36
K0877 Pwc gp4 std sing pow opt s/b 36
K0878 Pwc gp4 std sing pow opt cap 36
K0879 Pwc gp4 hd sing pow opt s/b 36
K0880 Pwc gp4 vhd sing pow opt s/b 36
K0884 Pwc gp4 std mult pow opt s/b 36
K0885 Pwc gp4 std mult pow opt cap 36
K0886 Pwc gp4 hd mult pow s/b 36
K0890 Pwc gp5 ped sing pow opt s/b 36
K0891 Pwc gp5 ped mult pow opt s/b 36
K0898 Power wheelchair noc 36
K0899 Pow mobil dev no dmepdac 00
K0900 Cstm dme other than wheelchr 45
K1004 Lo freq us diathermy device 00
K1007 Bil hkaf pc s/d micro sensor 38
K1027 Oral dev without fix mech 99
K1030 Ext recharge bat replacement 99
K1034 Covid test self-admn/collect 00
K1035 Mol diag reader self-admn 00
K1036 Supplies for ultra diatherm 00
K1037 Docking station for oral dev 99

Last reviewed: September 2026