Correct Coding - Incorrect Use of HCPCS Code K0108 to Bill for Front Riggings: Calf Pad or Calf Support - JA DME
Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Calf Pad or Calf Support
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 calf pad, calf support or for differing sizes of these items. Separate billing of code K0108 is not correct.
A calf pad is included with initial issue of an elevating leg rest and must not be billed separately. The correct code to bill for a calf pad or support when providing a complete elevating leg rest is:
A9900 - MISCELLANEOUS DME SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS CODE
Separate billing is allowed when providing a replacement pad. The correct code to use is:
E0995 - WHEELCHAIR ACCESSORY, CALF REST/PAD, REPLACEMENT ONLY, EACH
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.
Last Updated Tue, 20 Mar 2018 13:37:18 +0000