2024 HCPCS Code K0869

Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds

Short Description	Pwc gp 4 std cap chair
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	October 01, 2006
HCPCS Code Added Date	October 01, 2006
HCPCS Pricing Indicator Code	36 - Capped rental DME (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	A - Used durable medical equipment (DME)
HCPCS Anesthesia Base Unit Quantity	0