2025 HCPCS Code K0877
Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
TAGS: pounds power patient group weight capacity single| Short Description | Pwc gp4 std sing pow opt s/b |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Code Added Date | October 01, 2006 |
| HCPCS Action Effective Date | October 01, 2006 |
| HCPCS Pricing Indicator Code | 36 - Capped rental DME (price subject to floors and ceilings) |
| HCPCS Type Of Service Code | A - Used durable medical equipment (DME) |
| 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 |
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