Question 1

What is HCPCS code K0195?

Accepted Answer

HCPCS code K0195 is "Elevating whlchair leg rests". Elevating leg rests, pair (for use with capped rental wheelchair base)

Question 2

What category is K0195 in?

Accepted Answer

K0195 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0195?

Accepted Answer

Use K0195 when billing for elevating whlchair leg rests. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is K0195 covered by Medicare?

Accepted Answer

Coverage for K0195 (Elevating whlchair leg rests) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for K0195?

Accepted Answer

Documentation for K0195 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).