HCPCS Level II K0005: Ultralightweight Wheelchair

HCPCS Level II code K0005 describes an ultralightweight wheelchair device intended for mobility assistance, categorized as durable medical equipment for patients who require a highly maneuverable, lightweight manual wheelchair; the service type is durable medical equipment (DME) and the typical site of service is home use or community mobility where the patient performs daily activities and ambulation with caregiver or self-propulsion assistance.

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HCPCS Level II K0005: Ultralightweight Wheelchair

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Clinical & Coding Specifications

Clinical Context

A 72-year-old ambulatory-limited patient with progressive osteoarthritis and reduced endurance is evaluated by a physiatrist and an occupational therapist for durable medical equipment. The clinician documents functional deficits in mobility, transfers, and energy conservation and determines that an ultralightweight manual wheelchair is medically necessary to permit participation in community activities and to reduce caregiver burden. A formal mobility assessment, gait and transfer observations, seating and postural needs review, and trial of an ultralightweight chair in the clinic or home environment are performed. The supplier verifies measurements, provides the K0005 ultralightweight wheelchair, completes delivery and setup, gives training to the patient and caregiver on safe propulsion, fit, and maintenance, and documents the medical necessity, product specifications, and education in the medical record. Typical site of service: outpatient clinic, physician office, home assessment, or medical equipment supplier location.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97760`	Orthotic(s) management and training, upper extremity, lower extremity, and/or trunk, initial encounter; 15 minutes	Used for wheelchair training and functional mobility instruction during initial setup
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance); each 15 minutes	Used during occupational or physical therapy sessions to improve mobility and transfers with the wheelchair
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Used for follow-up face-to-face clinician visits documenting medical necessity for DME
`99455`	Work-related or medical disability examination by treating physician including completion of work-related activities form, medical records review, and report	May be used when documenting functional limitations related to mobility for return-to-work or disability paperwork
`E1399`	Durable medical equipment, miscellaneous (used by some suppliers for accessories not otherwise classified)	May be used by suppliers when billing non-standard wheelchair accessories not covered under main HCPCS codes

Related Modifiers

5 rows

Modifier	Description	When to Use
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
P2	Modifier P2 denotes an ASA Physical Status II — a patient with mild systemic disease. Per AMA/AAPC, examples include well-controlled hypertension or diabetes, mild obesity (BMI 30–40), current smoker…	- When to use: Append modifier -P2 to anesthesia CPT codes (00100–01999) when the anesthesia provider documents the patient has mild systemic disease (ASA Physical Status II) — for example…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
3336C0002X	Clinic Pharmacy	A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
2471V0106X	Vascular-Interventional Technology Radiologic Technologist	A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized …
363LA2100X	Acute Care Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
207RC0200X	Critical Care Medicine (Internal Medicine) Physician	An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for…
202D00000X	Integrative Medicine Physician	A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine cons…
173000000X	Legal Medicine	The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical …

HCPCS K0001: Standard Wheelchair

HCPCS-K0002-STANDARD-HEMI-LOW-SEAT-WHEELCHAIR

HCPCS K0002: Standard Hemi (Low Seat) Wheelchair

HCPCS-K0003-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0003: Lightweight Wheelchair

HCPCS-K0004-HIGH-STRENGTH-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0004: High Strength, Lightweight Wheelchair

HCPCS-K0006-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS-K0007-EXTRA-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0007: Extra Heavy Duty Wheelchair

HCPCS-K0008-CUSTOM-MANUAL-WHEELCHAIR

HCPCS K0008: Custom Manual Wheelchair/Base

HCPCS-K0009-OTHER-MANUAL-WHEELCHAIR-BASE

HCPCS K0009: Other Manual Wheelchair/Base

HCPCS-K0010-STANDARD-WEIGHT-FRAME-POWER-WHEELCHAIR

HCPCS K0010: Standard Weight Frame Motorized/Power Wheelchair

HCPCS-K0011-POWER-WHEELCHAIR-PROGRAMMABLE-CONTROLS-TREMOR-DAMPENING

HCPCS K0011: Motorized/Power Wheelchair with Programmable Controls

Showing 1–10 of 135

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97760`	Orthotic(s) management and training, upper extremity, lower extremity, and/or trunk, initial encounter; 15 minutes	Used for wheelchair training and functional mobility instruction during initial setup
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance); each 15 minutes	Used during occupational or physical therapy sessions to improve mobility and transfers with the wheelchair
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Used for follow-up face-to-face clinician visits documenting medical necessity for DME
`99455`	Work-related or medical disability examination by treating physician including completion of work-related activities form, medical records review, and report	May be used when documenting functional limitations related to mobility for return-to-work or disability paperwork
`E1399`	Durable medical equipment, miscellaneous (used by some suppliers for accessories not otherwise classified)	May be used by suppliers when billing non-standard wheelchair accessories not covered under main HCPCS codes

Related Modifiers

5 rows

Modifier	Description	When to Use
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
P2	Modifier P2 denotes an ASA Physical Status II — a patient with mild systemic disease. Per AMA/AAPC, examples include well-controlled hypertension or diabetes, mild obesity (BMI 30–40), current smoker…	- When to use: Append modifier -P2 to anesthesia CPT codes (00100–01999) when the anesthesia provider documents the patient has mild systemic disease (ASA Physical Status II) — for example…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
3336C0002X	Clinic Pharmacy	A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…
207K00000X	Allergy & Immunology Physician	An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
2471V0106X	Vascular-Interventional Technology Radiologic Technologist	A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized …
363LA2100X	Acute Care Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
207RC0200X	Critical Care Medicine (Internal Medicine) Physician	An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for…
202D00000X	Integrative Medicine Physician	A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine cons…
173000000X	Legal Medicine	The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical …

HCPCS K0001: Standard Wheelchair

HCPCS-K0002-STANDARD-HEMI-LOW-SEAT-WHEELCHAIR

HCPCS K0002: Standard Hemi (Low Seat) Wheelchair

HCPCS-K0003-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0003: Lightweight Wheelchair

HCPCS-K0004-HIGH-STRENGTH-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0004: High Strength, Lightweight Wheelchair

HCPCS-K0006-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS-K0007-EXTRA-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0007: Extra Heavy Duty Wheelchair

HCPCS-K0008-CUSTOM-MANUAL-WHEELCHAIR

HCPCS K0008: Custom Manual Wheelchair/Base

HCPCS-K0009-OTHER-MANUAL-WHEELCHAIR-BASE

HCPCS K0009: Other Manual Wheelchair/Base

HCPCS-K0010-STANDARD-WEIGHT-FRAME-POWER-WHEELCHAIR

HCPCS K0010: Standard Weight Frame Motorized/Power Wheelchair

HCPCS-K0011-POWER-WHEELCHAIR-PROGRAMMABLE-CONTROLS-TREMOR-DAMPENING

HCPCS K0011: Motorized/Power Wheelchair with Programmable Controls

Showing 1–10 of 135

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II K0005: Ultralightweight Wheelchair

Sign up for hcpcs K0005 policy alerts

OpenPayer

HCPCS Level II K0005: Ultralightweight Wheelchair

Sign up for hcpcs K0005 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS Level II K0005: Ultralightweight Wheelchair

Sign up for hcpcs K0005 policy alerts

HCPCS Level II K0005: Ultralightweight Wheelchair

Sign up for hcpcs K0005 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What is the clinical context for using HCPCS code `K0005` for an ultralightweight wheelchair?

Which related CPT codes are commonly used in conjunction with HCPCS code `K0005` for an ultralightweight wheelchair?

What are some common diagnoses related to the need for an ultralightweight wheelchair?

What is the typical site of service for providing and billing an ultralightweight wheelchair using HCPCS code `K0005`?

Which payers cover HCPCS code `K0005` for an ultralightweight wheelchair?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What is the clinical context for using HCPCS code `K0005` for an ultralightweight wheelchair?

Which related CPT codes are commonly used in conjunction with HCPCS code `K0005` for an ultralightweight wheelchair?

What are some common diagnoses related to the need for an ultralightweight wheelchair?

What is the typical site of service for providing and billing an ultralightweight wheelchair using HCPCS code `K0005`?

Which payers cover HCPCS code `K0005` for an ultralightweight wheelchair?

References