K0195 HCPCS - ELEVATING LEG RESTS, PAIR (FOR USE WITH CAPPED RENTAL WHEELCHAIR BASE)

Code Information

HCPCS Code: K0195
Sequence Number: 0010
Short Description: Elevating whlchair leg rests
Long Description: Elevating leg rests, pair (for use with capped rental wheelchair base)
Date Added: 1/1/1993
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/1993
Classification: Temporary Codes for Durable Medical Equipment Regional Carriers
Coding System: HCPCS

Pricing Indicator Code:
- 36 - Capped rental DME (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
- 60-9
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	K0195
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Elevating leg rests, pair (for use with capped rental wheelchair base)
HCPCS Short Description	Elevating whlchair leg rests
HCPCS Pricing Indicator Code 1	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 1	60-9
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	D1D - Wheelchairs
HCPCS Type Of Service Code 1	R - Rental of DME
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/1993
HCPCS Action Effective Date	1/1/1993
HCPCS Action Code	N - No maintenance for this code