K0013 HCPCS code: Custom motorized/power wheelchair base
K0013 is the HCPCS Level II code for custom motorized/power wheelchair base. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 45 — DMEPOS: customized item |
| BETOS category | D1D — Wheelchairs |
| Added | 2013-07-01 |
| Last action effective | 2013-07-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52498: Power Mobility Devices - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for K0013
- 2013-07-01: K0013 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code K0013?
K0013 is the HCPCS Level II code for custom motorized/power wheelchair base. Short descriptor: "Custom power whlchr base".
Does Medicare cover K0013?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of K0013 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related K00 codes
- K0001 — Standard wheelchair ($25.23–$53.63)
- K0002 — Standard hemi (low seat) wheelchair ($38.93–$101.05)
- K0003 — Lightweight wheelchair ($36.91–$115.29)
- K0004 — High strength, lightweight wheelchair ($48.55–$163.93)
- K0005 — Ultralightweight wheelchair ($259.07–$2,797.90)
- K0006 — Heavy duty wheelchair ($68.77–$169.03)
- K0007 — Extra heavy duty wheelchair ($96.40–$211.59)
- K0008 — Custom manual wheelchair/base
- K0009 — Other manual wheelchair/base ($101.86–$122.26)
- K0010 — Standard - weight frame motorized/power wheelchair ($516.03–$1,144.42)
- K0011 — Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ($641.58–$810.57)
- K0012 — Lightweight portable motorized/power wheelchair ($393.59–$543.05)
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Next steps
- Run a reimbursement report for a device billed under K0013
- Watch K0013 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0013
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.