2025 HCPCS Code 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
TAGS: extension adjustable flexion rotation single orthosis thigh joint| Notice | HCPCS K0901 terminated on December 31, 2016. |
| Short Description | Ko single upright pre ots |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Code Added Date | October 01, 2014 |
| HCPCS Action Effective Date | January 01, 2017 |
| HCPCS Pricing Indicator Code | 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) |
| HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Anesthesia Base Unit Quantity | 0 |
| HCPCS Coverage Issues Manual Reference Section Number |
Check Similar HCPCS Codes
- 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