HCPCS Level II K0043: Footrest Lower Extension Tube, Replacement Only

HCPCS Level II code K0043 represents a replacement footrest lower extension tube component supplied as a durable medical equipment replacement part; service type is replacement part for mobility/wheelchair equipment, and the typical site of service is durable medical equipment suppliers, home medical equipment delivery, or outpatient durable medical equipment provisioning.

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HCPCS Level II K0043: Footrest Lower Extension Tube, Replacement Only

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Clinical & Coding Specifications

Clinical Context

A patient who uses a durable medical equipment wheelchair presents to a mobility clinic because the footrest lower extension tube on their wheelchair is worn, bent, or broken and requires replacement. The wheelchair user may be an older adult with mobility impairment, a person with spinal cord injury, or a patient with neuromuscular disease who relies on a powered or manual wheelchair for activities of daily living. A clinician or DME technician evaluates the wheelchair to confirm that the specific component — the footrest lower extension tube — is damaged and that replacement of this single component is sufficient rather than replacement of the entire footrest assembly.

The clinical workflow includes device inspection and documentation of the part requiring replacement, verification of wheelchair make/model and part compatibility, ordering of the replacement part K0043 (Footrest, lower extension tube, replacement only, each), and scheduling for technician installation or patient-directed replacement. The claim for K0043 is submitted by the durable medical equipment supplier or repair vendor with supporting documentation of the component failure and, when required by payer policy, photos or technician notes confirming that only the lower extension tube is being replaced and not the entire footrest or seating subsystem.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	May be performed by occupational or physical therapists during functional mobility training after repair or replacement of wheelchair components
`97760`	Orthotic management and training, initial encounter, each 15 minutes	Performed when fitting or training a patient on wheelchair modifications or new components
`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 when billing for small replacement parts or supplies related to wheelchair repair

Related Modifiers

6 rows

Modifier	Description	When to Use
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…
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…
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…
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…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2080S0010X	Pediatric Sports Medicine Physician	A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also fo…
207ZM0300X	Medical Microbiology Physician	A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi,…
247000000X	Health Information Technician	Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study pro…
207NP0225X	Pediatric Dermatology Physician	A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emph…
261QD1600X	Developmental Disabilities Clinic/Center	An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling …
235Z00000X	Speech-Language Pathologist	The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in…
2279G0305X	Geriatric Care Registered Respiratory Therapist	Care of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group si…
276400000X	Substance Use Disorder Rehabilitation Hospital Unit	A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoacti…

Related ICD-10-CM Codes

23 rows

ICD-10-CM Code	Description
E11.52	Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
G57.81	Other specified mononeuropathies of right lower limb
I83.10	Varicose veins of unspecified lower extremity with inflammation
I83.819	Varicose veins of unspecified lower extremity with pain
M20.11	Hallux valgus (acquired), right foot
M20.12	Hallux valgus (acquired), left foot
M21.6X9	Other acquired deformities of unspecified foot
M24.271	Disorder of ligament, right ankle
M24.272	Disorder of ligament, left ankle
M25.571	Pain in right ankle and joints of right foot

Showing 1–10 of 23

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

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
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	May be performed by occupational or physical therapists during functional mobility training after repair or replacement of wheelchair components
`97760`	Orthotic management and training, initial encounter, each 15 minutes	Performed when fitting or training a patient on wheelchair modifications or new components
`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 when billing for small replacement parts or supplies related to wheelchair repair

Related Modifiers

6 rows

Modifier	Description	When to Use
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…
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…
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…
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…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2080S0010X	Pediatric Sports Medicine Physician	A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also fo…
207ZM0300X	Medical Microbiology Physician	A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi,…
247000000X	Health Information Technician	Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study pro…
207NP0225X	Pediatric Dermatology Physician	A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emph…
261QD1600X	Developmental Disabilities Clinic/Center	An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling …
235Z00000X	Speech-Language Pathologist	The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in…
2279G0305X	Geriatric Care Registered Respiratory Therapist	Care of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group si…
276400000X	Substance Use Disorder Rehabilitation Hospital Unit	A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoacti…

Related ICD-10-CM Codes

23 rows

ICD-10-CM Code	Description
E11.52	Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
G57.81	Other specified mononeuropathies of right lower limb
I83.10	Varicose veins of unspecified lower extremity with inflammation
I83.819	Varicose veins of unspecified lower extremity with pain
M20.11	Hallux valgus (acquired), right foot
M20.12	Hallux valgus (acquired), left foot
M21.6X9	Other acquired deformities of unspecified foot
M24.271	Disorder of ligament, right ankle
M24.272	Disorder of ligament, left ankle
M25.571	Pain in right ankle and joints of right foot

Showing 1–10 of 23

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

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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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 K0043: Footrest Lower Extension Tube, Replacement Only

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OpenPayer

HCPCS Level II K0043: Footrest Lower Extension Tube, Replacement Only

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

HCPCS Level II K0043: Footrest Lower Extension Tube, Replacement Only

Sign up for hcpcs K0043 policy alerts

HCPCS Level II K0043: Footrest Lower Extension Tube, Replacement Only

Sign up for hcpcs K0043 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What exactly does HCPCS code K0043 represent?

Who submits claims for K0043 and what documentation is typically needed?

Which modifiers should be used with K0043?

Where is the replacement service for K0043 usually performed?

Are there related CPT codes or services to consider when billing alongside K0043?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What exactly does HCPCS code K0043 represent?

Who submits claims for K0043 and what documentation is typically needed?

Which modifiers should be used with K0043?

Where is the replacement service for K0043 usually performed?

Are there related CPT codes or services to consider when billing alongside K0043?

References