Section K: Durable Medical Equipment (Temporary)
175 HCPCS Level II codes in Section K (2026).
K0001
Standard wheelchair
K0002
Stnd hemi (low seat) whlchr
K0003
Lightweight wheelchair
K0004
High strength ltwt whlchr
K0005
Ultralightweight wheelchair
K0006
Heavy duty wheelchair
K0007
Extra heavy duty wheelchair
K0008
Cstm manual wheelchair/base
K0009
Other manual wheelchair/base
K0010
Stnd wt frame power whlchr
K0011
Stnd wt pwr whlchr w control
K0012
Ltwt portbl power whlchr
K0013
Custom power whlchr base
K0014
Other power whlchr base
K0015
Detach non-adj ht armrst rep
K0017
Detach adjust armrest base
K0018
Detach adjust armrst upper
K0019
Arm pad repl, each
K0020
Fixed adjust armrest pair
K0037
Hi mount flip-up footrest ea
K0038
Leg strap each
K0039
Leg strap h style each
K0040
Adjustable angle footplate
K0041
Large size footplate each
K0042
Standard size ftplate rep ea
K0043
Ftrst lowr exten tube rep ea
K0044
Ftrst upr hanger brac rep ea
K0045
Ftrst compl assembly repl ea
K0046
Elev lgrst lwr exten repl ea
K0047
Elev legrst upr hangr rep ea
K0050
Ratchet assembly replacement
K0051
Cam rel asm ft/legrst rep ea
K0052
Swingaway detach ftrest repl
K0053
Elevate footrest articulate
K0056
Seat ht <17 or >=21 ltwt wc
K0065
Spoke protectors
K0069
Rr whl compl sol tire rep ea
K0070
Rr whl compl pne tire rep ea
K0071
Fr cstr comp pne tire rep ea
K0072
Fr cstr semi-pne tire rep ea
K0073
Caster pin lock each
K0077
Fr cstr asmb sol tire rep ea
K0098
Drive belt for pwc, repl
K0105
Iv hanger
K0108
W/c component-accessory nos
K0195
Elevating whlchair leg rests
K0455
Pump uninterrupted infusion
K0462
Temporary replacement eqpmnt
K0552
Sup/ext non-ins inf pump syr
K0553
Ther cgm supply allowance
K0554
Ther cgm receiver/monitor
K0601
Repl batt silver oxide 1.5 v
K0602
Repl batt silver oxide 3 v
K0603
Repl batt alkaline 1.5 v
K0604
Repl batt lithium 3.6 v
K0605
Repl batt lithium 4.5 v
K0606
Aed garment w elec analysis
K0607
Repl batt for aed
K0608
Repl garment for aed
K0609
Repl electrode for aed
K0669
Seat/back cus no dmepdac ver
K0672
Removable soft interface le
K0730
Ctrl dose inh drug deliv sys
K0733
12-24hr sealed lead acid
K0738
Portable gas oxygen system
K0739
Repair/svc dme non-oxygen eq
K0740
Repair/svc oxygen equipment
K0743
Portable home suction pump
K0744
Absorp drg <= 16 suc pump
K0745
Absorp drg >16<=48 suc pump
K0746
Absorp drg >48 suc pump
K0800
Pov group 1 std up to 300lbs
K0801
Pov group 1 hd 301-450 lbs
K0802
Pov group 1 vhd 451-600 lbs
K0806
Pov group 2 std up to 300lbs
K0807
Pov group 2 hd 301-450 lbs
K0808
Pov group 2 vhd 451-600 lbs
K0812
Power operated vehicle noc
K0813
Pwc gp 1 std port seat/back
K0814
Pwc gp 1 std port cap chair
K0815
Pwc gp 1 std seat/back
K0816
Pwc gp 1 std cap chair
K0820
Pwc gp 2 std port seat/back
K0821
Pwc gp 2 std port cap chair
K0822
Pwc gp 2 std seat/back
K0823
Pwc gp 2 std cap chair
K0824
Pwc gp 2 hd seat/back
K0825
Pwc gp 2 hd cap chair
K0826
Pwc gp 2 vhd seat/back
K0827
Pwc gp vhd cap chair
K0828
Pwc gp 2 xtra hd seat/back
K0829
Pwc gp 2 xtra hd cap chair
K0830
Pwc gp2 std seat elevate s/b
K0831
Pwc gp2 std seat elevate cap
K0835
Pwc gp2 std sing pow opt s/b
K0836
Pwc gp2 std sing pow opt cap
K0837
Pwc gp 2 hd sing pow opt s/b
K0838
Pwc gp 2 hd sing pow opt cap
K0839
Pwc gp2 vhd sing pow opt s/b
K0840
Pwc gp2 xhd sing pow opt s/b
K0841
Pwc gp2 std mult pow opt s/b
K0842
Pwc gp2 std mult pow opt cap
K0843
Pwc gp2 hd mult pow opt s/b
K0848
Pwc gp 3 std seat/back
K0849
Pwc gp 3 std cap chair
K0850
Pwc gp 3 hd seat/back
K0851
Pwc gp 3 hd cap chair
K0852
Pwc gp 3 vhd seat/back
K0853
Pwc gp 3 vhd cap chair
K0854
Pwc gp 3 xhd seat/back
K0855
Pwc gp 3 xhd cap chair
K0856
Pwc gp3 std sing pow opt s/b
K0857
Pwc gp3 std sing pow opt cap
K0858
Pwc gp3 hd sing pow opt s/b
K0859
Pwc gp3 hd sing pow opt cap
K0860
Pwc gp3 vhd sing pow opt s/b
K0861
Pwc gp3 std mult pow opt s/b
K0862
Pwc gp3 hd mult pow opt s/b
K0863
Pwc gp3 vhd mult pow opt s/b
K0864
Pwc gp3 xhd mult pow opt s/b
K0868
Pwc gp 4 std seat/back
K0869
Pwc gp 4 std cap chair
K0870
Pwc gp 4 hd seat/back
K0871
Pwc gp 4 vhd seat/back
K0877
Pwc gp4 std sing pow opt s/b
K0878
Pwc gp4 std sing pow opt cap
K0879
Pwc gp4 hd sing pow opt s/b
K0880
Pwc gp4 vhd sing pow opt s/b
K0884
Pwc gp4 std mult pow opt s/b
K0885
Pwc gp4 std mult pow opt cap
K0886
Pwc gp4 hd mult pow s/b
K0890
Pwc gp5 ped sing pow opt s/b
K0891
Pwc gp5 ped mult pow opt s/b
K0898
Power wheelchair noc
K0899
Pow mobil dev no dmepdac
K0900
Cstm dme other than wheelchr
K0901
Ko single upright pre ots
K0902
Ko double upright pre ots
K0903
Mult den insert dir carv/cam
K1001
Electronic posa treatment
K1002
Ces system
K1003
Whirlpool tub walkin portabl
K1004
Lo freq us diathermy device
K1005
Disp col sto bag breast milk
K1006
Suct pum ext urine mgmt sys
K1007
Bil hkaf pc s/d micro sensor
K1009
Speech volume modulation sys
K1010
Intraurethral drainag device
K1011
Acti intraurethral drainage
K1012
Charger base station intraur
K1013
Enema tube any type repl
K1014
Ak 4 bar link hydl swg/stanc
K1015
Foot, adductus position, adj
K1016
Trans elec nerv for trigemin
K1017
Monthly supp use with k1016
K1018
Ext up limb tremor stim wris
K1019
Supp ext up limb tremor stim
K1020
Non-invasive vagus nerv stim
K1021
Exsuff belt incl all sup acc
K1022
Endoskel posit rotat unit
K1023
Trans elec nerv periph nerv
K1024
Non pneum comp control cal
K1025
Non pneum compress full arm
K1026
Mech allergen parti barrier
K1027
Oral dev without fix mech
K1028
Control unit nm stim w phone
K1029
Oral dv/app neuromus mouthpi
K1030
Ext recharge bat replacement
K1031
Non pneu comp control w/o ca
K1032
Non pneum seq comp full leg
K1033
Non pneum seq comp half leg
K1034
Covid test self-admn/collect
K1035
Mol diag reader self-admn
K1036
Supplies for ultra diatherm
K1037
Docking station for oral dev