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HCPCS K0009: Other Manual Wheelchair/Base

HCPCS Level II code K0009 designates an “other manual wheelchair/base” used to provide mobility support when more specific wheelchair codes do not apply. Nationally, manual wheelchairs remain a core component of durable medical equipment coverage because they directly affect patient mobility, independence, and downstream care needs. HCPCS K0009 is relevant to providers, suppliers, and payers involved in durable medical equipment procurement and reimbursement.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for this code, typical sites of service, and the role of this equipment in patient care. The publication also outlines what readers can expect regarding benchmarks and policy context where available, clarifies common billing considerations, and identifies areas where data was not provided.

This summary serves as a national-level reference for clinicians, billing staff, and policy analysts seeking a clear definition of HCPCS Level II code K0009, its typical use cases, and the payer landscape relevant to durable medical equipment for mobility.

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Billing Code Overview

HCPCS Level II code K0009 represents an other manual wheelchair/base. This code covers manual wheelchair bases that do not fall into more specific HCPCS categories, typically used to provide mobility assistance for patients with permanent or temporary mobility impairments.

Service Type: Durable Medical Equipment (Mobility Aid)

Typical Site of Service: Home, outpatient clinics, long-term care facilities, and other non-acute settings where durable medical equipment is provided or used.

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HCPCS K0009: Other Manual Wheelchair/Base

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Billing Code Overview

Service Type: Durable Medical Equipment (Mobility Aid)

Typical Site of Service: Home, outpatient clinics, long-term care facilities, and other non-acute settings where durable medical equipment is provided or used.

Clinical & Coding Specifications

Clinical Context

A typical patient receiving a K0009 other manual wheelchair/base is an adult with mobility impairment from neurological, musculoskeletal, or cardiopulmonary conditions who requires a standard manual wheelchair that does not meet the criteria for a specific coded specialty or complex wheelchair. Example scenario: a 68-year-old patient with progressive osteoarthritis and decreased endurance presents to an outpatient durable medical equipment (DME) clinic after discharge from a short inpatient stay. An occupational therapist completes a wheelchair evaluation documenting inability to safely ambulate household distances, need for a propulsion-assistive manual device, and measurements for seat width, depth, and back height. The DME supplier verifies payer eligibility, obtains any required prior authorization, orders a standard manual wheelchair billed as K0009, and schedules delivery and basic training for wheelchair propulsion, transfers, and pressure-relief strategies. Follow-up care may include reassessment for seating adjustments, cushion upgrades, or transition to a different mobility device if clinical status changes.

Coding Specifications

Modifier	Description	When to Use
`59`	Distinct procedural service	Data not available in the input.
`22`	Increased procedural services	Use when unusually high complexity in patient handling or extensive time is documented for wheelchair fitting or customization.
`52`	Reduced services	Use when a reduced service is provided compared with the full standard product or visit (e.g., partial delivery).
`53`	Discontinued procedure	Use if the wheelchair provision was started but discontinued prior to completion for documented clinical reasons.
`62`	Two surgeons	Use when two qualified providers share responsibility for a complex seating or transfer evaluation requiring concurrent expertise.
`78`	Return to OR for related procedure	Data not available in the input.
`80`	Assistant at surgery	Data not available in the input.
`LL`	Left side specified	Use when laterality affects ordering or documentation for bilateral mobility devices or accessories when required by payer policy.
`MS`	Active clinical trial	Use when furnishing the wheelchair under a qualifying clinical trial protocol.
`QK`	Medical direction of two, three, or four assistants	Data not available in the input.
`QX`	Modifier for assistant personnel (when required)	Data not available in the input.
`RB`	Replacement of DME under rental agreement	Use when the `K0009` wheelchair is being replaced under an active rental agreement or repair/replacement provision.
`RP`	Replacement of service item	Use when the item is replaced due to wear, breakage, or medical necessity within contractor guidelines.
`UE`	Item furnished in an emergency	Use when the wheelchair is furnished emergently for immediate mobility needs documented in the medical record.

Taxonomy Code	Specialty	Notes
`225100000X`	Physical Therapist	Performs mobility assessment, propulsion training, and transfer evaluation.
`225200000X`	Occupational Therapist	Performs wheelchair seating evaluation, activities of daily living assessment, and device selection.
`333600000X`	Durable Medical Equipment Supplier	Responsible for device provision, fitting, delivery, and basic training.
`207L00000X`	Physical Medicine & Rehabilitation Physician	Provides medical necessity documentation and oversight for durable medical equipment.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.	Data not available in the input.	Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, using dynamic activities to improve functional performance (15 minutes)	Often performed by occupational or physical therapists before or after wheelchair delivery to train transfers and functional tasks.
`97755`	Assistive technology assessment, each 15 minutes	Used by therapists to assess mobility device needs, document medical necessity, and produce measurement records that support the `K0009` order.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	May document clinical evaluation and justification for ordering the manual wheelchair.
`97535`	Self-care/home management training (e.g., activities of daily living and compensatory training)	Used for training patients in ADLs and wheelchair use after delivery.
`99070`	Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit or other services	May be used to bill non-covered consumable items associated with wheelchair fitting (subject to payer rules).

HCPCS Level II 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 K0005: Ultralightweight Wheelchair

HCPCS-K0006-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS-K0007-EXTRA-HEAVY-DUTY-WHEELCHAIR

HCPCS K0007: Extra Heavy Duty Wheelchair

HCPCS-K0008-CUSTOM-MANUAL-WHEELCHAIR

HCPCS Level II K0008: Custom 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: Power Wheelchair with Programmable Controls

Showing 1–10 of 135

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`59`	Distinct procedural service	Data not available in the input.
`22`	Increased procedural services	Use when unusually high complexity in patient handling or extensive time is documented for wheelchair fitting or customization.
`52`	Reduced services	Use when a reduced service is provided compared with the full standard product or visit (e.g., partial delivery).
`53`	Discontinued procedure	Use if the wheelchair provision was started but discontinued prior to completion for documented clinical reasons.
`62`	Two surgeons	Use when two qualified providers share responsibility for a complex seating or transfer evaluation requiring concurrent expertise.
`78`	Return to OR for related procedure	Data not available in the input.
`80`	Assistant at surgery	Data not available in the input.
`LL`	Left side specified	Use when laterality affects ordering or documentation for bilateral mobility devices or accessories when required by payer policy.
`MS`	Active clinical trial	Use when furnishing the wheelchair under a qualifying clinical trial protocol.
`QK`	Medical direction of two, three, or four assistants	Data not available in the input.
`QX`	Modifier for assistant personnel (when required)	Data not available in the input.
`RB`	Replacement of DME under rental agreement	Use when the `K0009` wheelchair is being replaced under an active rental agreement or repair/replacement provision.
`RP`	Replacement of service item	Use when the item is replaced due to wear, breakage, or medical necessity within contractor guidelines.
`UE`	Item furnished in an emergency	Use when the wheelchair is furnished emergently for immediate mobility needs documented in the medical record.

Taxonomy Code	Specialty	Notes
`225100000X`	Physical Therapist	Performs mobility assessment, propulsion training, and transfer evaluation.
`225200000X`	Occupational Therapist	Performs wheelchair seating evaluation, activities of daily living assessment, and device selection.
`333600000X`	Durable Medical Equipment Supplier	Responsible for device provision, fitting, delivery, and basic training.
`207L00000X`	Physical Medicine & Rehabilitation Physician	Provides medical necessity documentation and oversight for durable medical equipment.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
Data not available in the input.	Data not available in the input.	Data not available in the input.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, using dynamic activities to improve functional performance (15 minutes)	Often performed by occupational or physical therapists before or after wheelchair delivery to train transfers and functional tasks.
`97755`	Assistive technology assessment, each 15 minutes	Used by therapists to assess mobility device needs, document medical necessity, and produce measurement records that support the `K0009` order.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	May document clinical evaluation and justification for ordering the manual wheelchair.
`97535`	Self-care/home management training (e.g., activities of daily living and compensatory training)	Used for training patients in ADLs and wheelchair use after delivery.
`99070`	Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit or other services	May be used to bill non-covered consumable items associated with wheelchair fitting (subject to payer rules).

HCPCS Level II 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 K0005: Ultralightweight Wheelchair

HCPCS-K0006-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS-K0007-EXTRA-HEAVY-DUTY-WHEELCHAIR

HCPCS K0007: Extra Heavy Duty Wheelchair

HCPCS-K0008-CUSTOM-MANUAL-WHEELCHAIR

HCPCS Level II K0008: Custom 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: Power Wheelchair with Programmable Controls

Showing 1–10 of 135

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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 K0009: Other Manual Wheelchair/Base

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Billing Code Overview

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HCPCS K0009: Other Manual Wheelchair/Base

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References