K0669 HCPCS code: Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac

K0669 is the HCPCS Level II code for wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.

Code details

FieldValue
SectionK codes — Temporary codes for DME MACs
Coverage codeC — Carrier judgment
Pricing indicator32 — DMEPOS: inexpensive or routinely purchased item
BETOS categoryD1D — Wheelchairs
Added2004-07-01
Last action effective2010-07-01

Medicare policy articles for this code

What changed for K0669

Frequently asked questions

What is HCPCS code K0669?

K0669 is the HCPCS Level II code for wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac. Short descriptor: "Seat/back cus no dmepdac ver".

Does Medicare cover K0669?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

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Next steps

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.

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