Two New K Codes in Effect Oct. 1
Durable medical equipment (DME) suppliers will soon have two new K codes (K0901 and K0902) for reporting off-the-shelf (OTS) prefabricated single and double upright knee orthoses to Medicare.
To identify prefabricated single and double upright knee orthoses that are furnished in a variety of standard sizes and do not require the skills of an expert to measure and fit to the individual, the following OTS codes will be added to the HCPCS Level II code set, effective October 1, 2014:
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
K0902 – Knee orthosis (KO), double 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
The Centers for Medicare & Medicaid Services (CMS) defines the term “minimal self-adjustment” to mean an adjustment that the beneficiary, caretaker for the beneficiary, or supplier of the device can perform and that does not require the services of a certified orthotist or an individual who has specialized training.
You can download the complete list of OTS orthotics HCPCS Level II codes from the CMS website.
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