HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS Level II code K0006 denotes a heavy duty wheelchair, a durable medical equipment item intended for patients requiring increased frame strength and weight capacity; this code typically represents a wheelchair service delivered as durable medical equipment for use in ambulatory settings, home care, or institutional settings where a heavy duty manual wheelchair is clinically indicated.

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HCPCS Level II K0006: Heavy Duty Wheelchair

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Get alerted when payer policies referencing K0006 are released or updated.

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Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with long-standing mobility impairment due to advanced degenerative joint disease, spinal cord injury, muscular dystrophy, or neurologic disorders who requires a heavy-duty wheelchair for daily mobility. The clinical workflow begins with an evaluation by a prescribing clinician (physiatrist, neurologist, orthopedic surgeon, or primary care physician) documenting functional limitations, wheelchair mobility needs, and medical necessity. A certified ATP (assistive technology professional) or occupational therapist performs measurements, seating assessment, and documents the need for a heavy-duty frame to support body weight, higher durability for frequent use, or specialized seating interfaces. A supplier submits a prescription and supporting documentation, and the payer (e.g., Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, Medicare) adjudicates coverage based on policy criteria. Delivery includes patient training, fit verification, and follow-up for adjustments and warranty/repair planning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97161`	Physical therapy evaluation, low complexity
Often performed prior to or in conjunction with wheelchair prescription to document mobility deficits and goals.
`97530`	Therapeutic activities, direct (one-on-one)	Used during training in wheelchair transfers, propulsion, and community mobility.
`97750`	Physical performance test or measurement	Used to document baseline mobility metrics (e.g., distance, transfer ability) that support the need for a heavy-duty wheelchair.
`96127`	Brief emotional/behavioral assessment	Occasionally used to document related cognitive/behavioral status affecting device use and training.
`99214`	Office or other outpatient visit, established patient, moderate complexity	Used by prescribing clinicians to document medical necessity and to write the DME order and supporting rationale.

Related Modifiers

6 rows

Modifier	Description	When to Use
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…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208800000X	Urology Physician	A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
225100000X	Physical Therapist	Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
363LC1500X	Community Health Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
207WX0107X	Retina Specialist (Ophthalmology) Physician	An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
2080P0006X	Developmental - Behavioral Pediatrics Physician	A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal…
246YC3302X	Physician Office Based Coding Specialist	None

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-K0005-ULTRALIGHTWEIGHT-WHEELCHAIR

HCPCS Level II K0005: Ultralightweight 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
`97161`	Physical therapy evaluation, low complexity
Often performed prior to or in conjunction with wheelchair prescription to document mobility deficits and goals.
`97530`	Therapeutic activities, direct (one-on-one)	Used during training in wheelchair transfers, propulsion, and community mobility.
`97750`	Physical performance test or measurement	Used to document baseline mobility metrics (e.g., distance, transfer ability) that support the need for a heavy-duty wheelchair.
`96127`	Brief emotional/behavioral assessment	Occasionally used to document related cognitive/behavioral status affecting device use and training.
`99214`	Office or other outpatient visit, established patient, moderate complexity	Used by prescribing clinicians to document medical necessity and to write the DME order and supporting rationale.

Related Modifiers

6 rows

Modifier	Description	When to Use
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…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
208800000X	Urology Physician	A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
225100000X	Physical Therapist	Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
363LC1500X	Community Health Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
207WX0107X	Retina Specialist (Ophthalmology) Physician	An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
2080P0006X	Developmental - Behavioral Pediatrics Physician	A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal…
246YC3302X	Physician Office Based Coding Specialist	None

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-K0005-ULTRALIGHTWEIGHT-WHEELCHAIR

HCPCS Level II K0005: Ultralightweight 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 K0006: Heavy Duty Wheelchair

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OpenPayer

HCPCS Level II K0006: Heavy Duty Wheelchair

Sign up for hcpcs K0006 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 K0006: Heavy Duty Wheelchair

Sign up for hcpcs K0006 policy alerts

HCPCS Level II K0006: Heavy Duty Wheelchair

Sign up for hcpcs K0006 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0006 represent and where is it typically used?

Who documents medical necessity and what clinical workflow supports a K0006 claim?

Which payers commonly cover K0006 and how is coverage determined?

Which billing modifiers are commonly used or not used with K0006?

Which related CPT codes should I expect to see alongside a K0006 claim to support medical necessity?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0006 represent and where is it typically used?

Who documents medical necessity and what clinical workflow supports a K0006 claim?

Which payers commonly cover K0006 and how is coverage determined?

Which billing modifiers are commonly used or not used with K0006?

Which related CPT codes should I expect to see alongside a K0006 claim to support medical necessity?

References