HCPCS code K0877 — Pwc gp4 std sing pow opt s/b.
Status: Active.
Effective Oct 1, 2006.
Source: CMS HCPCS Level II.
K0877
ActivePwc gp4 std sing pow opt s/b
Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Category:
Temporary DME
Section:
K-codes: Temporary DME Codes
Effective:
Oct 1, 2006
Code type:
alphanumeric
OPPS Status:
Y
— Non-implantable durable medical equipment
MUE — Medically Unlikely Edits
Maximum units of K0877 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 1 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits