HCPCS K0008: Custom Manual Wheelchair/Base

HCPCS Level II code K0008 describes a custom manual wheelchair/base designed and fabricated to meet unique patient needs; the service represents provision of a customized mobility device tailored to individual anthropometrics and functional requirements, typically delivered as durable medical equipment (DME) and dispensed in outpatient DME suppliers, rehabilitation clinics, or specialized mobility centers.

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HCPCS K0008: Custom Manual Wheelchair/Base

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Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with progressive spastic paraplegia and significant postural instability is evaluated in a durable medical equipment clinic for mobility needs. The patient has failed to achieve safe, independent mobility with standard, off-the-shelf wheelchairs due to abnormal tone, fixed spinal deformity, and unique seat-to-floor height requirements. An orthotist and a rehabilitation physician collaborate to prescribe a K0008 custom manual wheelchair/base with individualized seating, frame modifications, and accessory mounting points.

The clinical workflow includes a comprehensive mobility assessment (history, functional mobility testing, transfers, posture and skin assessment), seating and positioning evaluation, measurement for custom fabrication, physician prescription with clinical justification, and fitting/training once the custom base is delivered. Documentation includes objective functional deficits, prior mobility devices tried, specific custom features required (e.g., modified axle position, reinforced frame, custom seat dimensions), measurable goals for mobility and activities of daily living, and the supplier’s itemized fabrication details. Follow-up visits assess fit, skin integrity, and function, with adjustments authorized as needed.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97162`	Physical therapy evaluation, moderate complexity	Performed by therapist to assess mobility needs and justify custom seating prescription prior to ordering `K0008`
`97760`	Orthotic management and training, initial encounter	Used when training patient in use, donning/doffing, transfers, and safe mobility with the custom wheelchair/base
`92507`	Treatment of speech, language, voice, swallowing; not directly related	Data not applicable to wheelchair provision; included only if interdisciplinary rehab required
`99456`	Work-related medical evaluation (e.g., return-to-work)	Used when wheelchair provision is part of a worker’s compensation evaluation and reporting
`99354`	Prolonged service in the outpatient setting, face-to-face	May apply when extended clinician time is necessary for complex seating evaluation and documentation

Related Modifiers

5 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…
P3	Modifier P3 denotes that the anesthesia patient has severe systemic disease (ASA III). It applies only to anesthesia CPT codes (00100–01999) and must be appended by the anesthesia provider with…	- Applies only to anesthesia procedure codes (CPT 00100–01999) and should be appended by the anesthesia provider when the patient meets the definition of "severe systemic disease" (CPT/AAPC P3;…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
333600000X	Pharmacy	A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
273100000X	Epilepsy Hospital Unit	An Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and…
364SC2300X	Chronic Care Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
207QB0002X	Obesity Medicine (Family Medicine) Physician	A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the ge…
242T00000X	Perfusionist	A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temp…
363LP0200X	Pediatric Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
2085R0203X	Therapeutic Radiology Physician	Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
207ZP0007X	Molecular Genetic Pathology (Pathology) Physician	A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is us…

Related ICD-10-CM Codes

19 rows

ICD-10-CM Code	Description
E11.9	Type 2 diabetes mellitus without complications
G12.21	Amyotrophic lateral sclerosis
G82.20	Paraplegia, unspecified
G82.21	Paraplegia, complete
G82.50	Quadriplegia, unspecified
G82.51	Quadriplegia, C1-C4 complete
G83.4	Cauda equina syndrome
I69.391	Dysphagia following cerebral infarction
M15.0	Primary generalized (osteo)arthritis
M16.11	Unilateral primary osteoarthritis, right hip

Showing 1–10 of 19

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-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-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
`97162`	Physical therapy evaluation, moderate complexity	Performed by therapist to assess mobility needs and justify custom seating prescription prior to ordering `K0008`
`97760`	Orthotic management and training, initial encounter	Used when training patient in use, donning/doffing, transfers, and safe mobility with the custom wheelchair/base
`92507`	Treatment of speech, language, voice, swallowing; not directly related	Data not applicable to wheelchair provision; included only if interdisciplinary rehab required
`99456`	Work-related medical evaluation (e.g., return-to-work)	Used when wheelchair provision is part of a worker’s compensation evaluation and reporting
`99354`	Prolonged service in the outpatient setting, face-to-face	May apply when extended clinician time is necessary for complex seating evaluation and documentation

Related Modifiers

5 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…
P3	Modifier P3 denotes that the anesthesia patient has severe systemic disease (ASA III). It applies only to anesthesia CPT codes (00100–01999) and must be appended by the anesthesia provider with…	- Applies only to anesthesia procedure codes (CPT 00100–01999) and should be appended by the anesthesia provider when the patient meets the definition of "severe systemic disease" (CPT/AAPC P3;…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
333600000X	Pharmacy	A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
273100000X	Epilepsy Hospital Unit	An Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and…
364SC2300X	Chronic Care Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
207QB0002X	Obesity Medicine (Family Medicine) Physician	A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the ge…
242T00000X	Perfusionist	A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temp…
363LP0200X	Pediatric Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
2085R0203X	Therapeutic Radiology Physician	Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
207ZP0007X	Molecular Genetic Pathology (Pathology) Physician	A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is us…

Related ICD-10-CM Codes

19 rows

ICD-10-CM Code	Description
E11.9	Type 2 diabetes mellitus without complications
G12.21	Amyotrophic lateral sclerosis
G82.20	Paraplegia, unspecified
G82.21	Paraplegia, complete
G82.50	Quadriplegia, unspecified
G82.51	Quadriplegia, C1-C4 complete
G83.4	Cauda equina syndrome
I69.391	Dysphagia following cerebral infarction
M15.0	Primary generalized (osteo)arthritis
M16.11	Unilateral primary osteoarthritis, right hip

Showing 1–10 of 19

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-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-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.

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HCPCS K0008: Custom Manual Wheelchair/Base

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HCPCS K0008: Custom Manual Wheelchair/Base

Sign up for hcpcs K0008 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

HCPCS K0008: Custom Manual Wheelchair/Base

Sign up for hcpcs K0008 policy alerts

HCPCS K0008: Custom Manual Wheelchair/Base

Sign up for hcpcs K0008 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code K0008 cover?

What clinical and documentation elements are expected when ordering and supplying a K0008 custom wheelchair?

Which modifiers are applicable to K0008 claims and when are they used?

What related CPT codes are commonly billed alongside a K0008 custom manual wheelchair?

Who provides and bills for K0008, and which payers are commonly involved?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code K0008 cover?

What clinical and documentation elements are expected when ordering and supplying a K0008 custom wheelchair?

Which modifiers are applicable to K0008 claims and when are they used?

What related CPT codes are commonly billed alongside a K0008 custom manual wheelchair?

Who provides and bills for K0008, and which payers are commonly involved?

References