| HCPCS Code: |
K0013 |
| Long Description: |
Custom motorized/power wheelchair base |
| Short Description: |
Custom power whlchr base |
| Pricing Indicator 1: |
45 (Customized DME items) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
0188 |
| Berenson-Eggers Type of Service (BETOS) Code: |
D1D (Wheelchairs) |
| Type of Service Code 1: |
A (Used durable medical equipment (DME)) |
| Type of Service Code 2: |
P (Lump sum purchase of DME, prosthetics, orthotics) |
| Type of Service Code 3: |
R (Rental of DME) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-07-2013 |
| Action Effective Date: |
01-07-2013 |
| Action Code: |
A (Add procedure or modifier code) |
