HCPCS K0019: Arm Pad, Replacement Only, Each

HCPCS Level II code K0019 describes a replacement arm pad provided as a single item, typically billed when an individual component of durable medical equipment requires replacement rather than full device replacement; service type: replacement part for durable medical equipment, typical site of service: outpatient durable medical equipment supplier or home use.

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HCPCS K0019: Arm Pad, Replacement Only, Each

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Clinical & Coding Specifications

Clinical Context

A patient with an established wheelchair cushion system presents to durable medical equipment (DME) services or an outpatient rehabilitation clinic for replacement of a worn or damaged arm pad. The typical patient is an adult or pediatric wheelchair user who reports discomfort, skin irritation, or loss of padding integrity on the wheelchair armrest. A DME technician or occupational therapist evaluates the arm pad to confirm size, mounting compatibility, and that only the arm pad component requires replacement rather than the entire arm assembly. Documentation includes the patient identifier, device make/model, reason for replacement (wear, damage, contamination, pressure concerns), date of service, description of the replaced part (K0019), and verification that the replacement is compatible with the existing wheelchair. The supplier dispenses and fits the arm pad, demonstrates use and care to the patient or caregiver, and submits the claim to the patient’s payor with appropriate supporting documentation and any applicable modifier(s). Typical sites of service include outpatient DME supplier locations, inpatient rehabilitation facilities when coordinating DME prior to discharge, and home visits by DME providers for patients unable to travel.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97760`	Orthotic(s) and/or prosthetic(s) management and training, upper extremity, initial encounter	Used when clinician provides training related to armrest modification or positioning after replacement.
`97530`	Therapeutic activities, direct (one-on-one) patient contact	May be billed when occupational therapy addresses functional transfers or pressure relief with the new arm pad.
`99070`	Supplies and materials (except spectacles), used by the physician, not for patient use	Occasionally used by suppliers for noncapital supplies associated with fitting; payer-specific.
`99499`	Unlisted preventive medicine service	Rarely used for documentation of nonstandard device fitting services when no specific CPT exists.
`T1019`	Mileage, Round trip	Used by DME suppliers or home health when billing for travel related to home delivery and fitting (HCPCS/other payor-specific).

Related Modifiers

5 rows

Modifier	Description	When to Use
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…
90	Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…	- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
27	Modifier 27 indicates a separate, subsequent outpatient hospital E/M service provided to the same patient on the same date by a different provider in a hospital outpatient setting. It is a…	- Use modifier -27 on facility (hospital outpatient/ambulatory service center) claims to report a subsequent, separate, and distinct outpatient E/M service provided to the same patient on the same…
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…

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…
333600000X	Pharmacy	A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
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…
261QP2400X	Prison Health Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
207ZH0000X	Hematology (Pathology) Physician	A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the know…
103TM1800X	Intellectual & Developmental Disabilities Psychologist	Behavioral Health & Social Service Providers · Psychologist
207RI0001X	Clinical & Laboratory Immunology (Internal Medicine) Physician	An internal medicine physician who specializes in clinical and laboratory immunology disease management.

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
G56.01	Carpal tunnel syndrome, right upper limb
G56.02	Carpal tunnel syndrome, left upper limb
M17.11	Unilateral primary osteoarthritis, right knee
M19.071	Primary osteoarthritis, right ankle and foot
M19.072	Primary osteoarthritis, left ankle and foot
M21.371	Foot drop, right foot
M21.372	Foot drop, left foot
M25.511	Pain in right shoulder
M25.512	Pain in left shoulder
M25.561	Pain in right knee

Showing 1–10 of 25

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-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

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) and/or prosthetic(s) management and training, upper extremity, initial encounter	Used when clinician provides training related to armrest modification or positioning after replacement.
`97530`	Therapeutic activities, direct (one-on-one) patient contact	May be billed when occupational therapy addresses functional transfers or pressure relief with the new arm pad.
`99070`	Supplies and materials (except spectacles), used by the physician, not for patient use	Occasionally used by suppliers for noncapital supplies associated with fitting; payer-specific.
`99499`	Unlisted preventive medicine service	Rarely used for documentation of nonstandard device fitting services when no specific CPT exists.
`T1019`	Mileage, Round trip	Used by DME suppliers or home health when billing for travel related to home delivery and fitting (HCPCS/other payor-specific).

Related Modifiers

5 rows

Modifier	Description	When to Use
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…
90	Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…	- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
27	Modifier 27 indicates a separate, subsequent outpatient hospital E/M service provided to the same patient on the same date by a different provider in a hospital outpatient setting. It is a…	- Use modifier -27 on facility (hospital outpatient/ambulatory service center) claims to report a subsequent, separate, and distinct outpatient E/M service provided to the same patient on the same…
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…

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…
333600000X	Pharmacy	A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
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…
261QP2400X	Prison Health Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
207ZH0000X	Hematology (Pathology) Physician	A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the know…
103TM1800X	Intellectual & Developmental Disabilities Psychologist	Behavioral Health & Social Service Providers · Psychologist
207RI0001X	Clinical & Laboratory Immunology (Internal Medicine) Physician	An internal medicine physician who specializes in clinical and laboratory immunology disease management.

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
G56.01	Carpal tunnel syndrome, right upper limb
G56.02	Carpal tunnel syndrome, left upper limb
M17.11	Unilateral primary osteoarthritis, right knee
M19.071	Primary osteoarthritis, right ankle and foot
M19.072	Primary osteoarthritis, left ankle and foot
M21.371	Foot drop, right foot
M21.372	Foot drop, left foot
M25.511	Pain in right shoulder
M25.512	Pain in left shoulder
M25.561	Pain in right knee

Showing 1–10 of 25

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-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

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 K0019: Arm Pad, Replacement Only, Each

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OpenPayer

HCPCS K0019: Arm Pad, Replacement Only, Each

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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 K0019: Arm Pad, Replacement Only, Each

Sign up for hcpcs K0019 policy alerts

HCPCS K0019: Arm Pad, Replacement Only, Each

Sign up for hcpcs K0019 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 K0019 cover and when is it used?

What documentation is expected when billing K0019?

Which modifiers are commonly used with K0019 and when should they be applied?

Which provider specialties are involved in supplying and documenting K0019?

What related CPT/other codes might appear on claims with K0019?

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 K0019 cover and when is it used?

What documentation is expected when billing K0019?

Which modifiers are commonly used with K0019 and when should they be applied?

Which provider specialties are involved in supplying and documenting K0019?

What related CPT/other codes might appear on claims with K0019?

References