K0901 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
Short descriptor: Ko single upright pre ots
Look up K0901 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
K0901 is the HCPCS Level II code for Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf (2026). It belongs to Section K — Durable Medical Equipment (Temporary). Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Orthotics, prosthetics & vision services.
Classification & CMS Attributes
- Medicare Coverage
- Carrier judgment (code C)
- Part B Pricing
- Orthotics, prosthetics & vision services (indicator 38)
- Type of Service
- Lump-sum purchase of DME, prosthetics, orthotics
- Effective Date
- 2017-01-01
- Termination Date
- 2016-12-31
- 2026 Maintenance
- No change this year
References
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Reference K0901 with the canonical source and edition:
K0901 — Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/K0901
Canonical URL: https://icd10codingpro.com/hcpcs-codes/K0901