This article was retired on August 22, 2017. Please see the LCD for current guidelines.

Original Effective Date: 06/01/2004
Revision Effective Date: 11/01/2013

Two HCPCS codes are available for use when billing elevating leg rests. Which code to use depends on whether the wheelchair base is being rented or is a purchased item AND whether or not billing is for a single leg rest or a pair.

HCPCS code K0195 (Elevating leg rests, pair – for use with capped rental wheelchair base) must only be used when billing 2 leg rests for a rented wheelchair. The appropriate modifiers must be appended (i.e., RR and KH, KI, or KJ) and the correct number of services is 1. Code K0195 must not be used for leg rests provided for a purchased wheelchair.

HCPCS code E0990 (Wheelchair accessory, elevating leg rest, complete assembly, each) should be used when only 1 leg rest is provided for either a rented or purchased wheelchair or when 2 leg rests are provided with a purchased wheelchair. The appropriate modifiers must be appended (i.e., NU, UE or RR).