K0900 HCPCS code: Customized durable medical equipment, other than wheelchair
K0900 is the HCPCS Level II code for customized durable medical equipment, other than wheelchair. 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 | D1E — Other durable medical equipment |
| Added | 2013-07-01 |
| Last action effective | 2013-07-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
What changed for K0900
- 2013-07-01: K0900 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 K0900?
K0900 is the HCPCS Level II code for customized durable medical equipment, other than wheelchair. Short descriptor: "Cstm dme other than wheelchr".
Does Medicare cover K0900?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of K0900 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related K09 codes
- 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
- K0902 — Knee orthosis (ko), double 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
- K0903 — For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
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Next steps
- Run a reimbursement report for a device billed under K0900
- Watch K0900 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0900
Sources: CMS HCPCS Level II release October 2026; 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.