Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for an Actuator - JA DME
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for an Actuator
DME MAC Joint Publication
Recent reports have identified that suppliers are billing Healthcare Common Procedure Coding System (HCPCS) code K0108 (WHEELCHAIR COMPONENT OR ACCESSORY, NOT OTHERWISE SPECIFIED) for a wheelchair actuator. An actuator is a device that receives signals from a controller then translates those signals into either rotary or linear movement. At initial issue, there is no separate billing for actuators. Actuators are included in the code for the components that contain them. Separate billing for an actuator is allowed only for replacement of a malfunctioning item. When billing for a replacement actuator, the correct code to bill is:
E2378 - POWER WHEELCHAIR COMPONENT, ACTUATOR, REPLACEMENT ONLY
For questions about correct coding, contact the Pricing, Data Analysis, and Coding (PDAC) contractor at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form available on the website www.dmepdac.com.
