K0052 Swingaway Footrests HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS K0052: Swingaway Detachable Footrests, Replacement Only, Each

HCPCS Level II code K0052 covers replacement swingaway, detachable footrests sold and billed individually as accessories for wheelchairs or other mobility devices. These replacement parts matter nationally because they affect durable medical equipment (DME) servicing, patient mobility, and claims workflow for suppliers and payers. Proper coding ensures accurate billing, inventory control, and continuity of patient mobility supports.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s clinical context and service implications, typical sites of service for billing, and the common modifiers and payer mix considered in coverage and claims adjudication. The publication also summarizes benchmarks and policy-relevant considerations for DME replacement parts billing, documents common payer behaviors, and outlines where to look for updates to coverage or reimbursement policies.

This summary provides a concise reference for billing staff, DME suppliers, and policy analysts seeking operational clarity about how K0052 is used in claims, what services it represents, and which major national payers are relevant to coverage and reimbursement discussions. Data not available in the input: detailed payer-specific reimbursement rates, associated taxonomies, and ICD-10 pairings.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareK0052HCPCS Level IIdurable medical equipmentwheelchair accessoryreplacement partsfootrestsDME billingmobility devicesprosthetics and orthotics

Billing Code Overview

HCPCS Level II code K0052 describes swingaway, detachable footrests, replacement only, each. This code represents a replacement component for durable medical equipment designed to provide removable, swing-away support for a patient’s feet.

Service type: Replacement part for durable medical equipment (mobility/wheelchair accessory)
Typical site of service: Durable medical equipment supplier, home setting, or any site where wheelchair maintenance and parts replacement occur

Clinical & Coding Specifications

Clinical Context

A patient with a durable medical equipment (DME) wheelchair presents to a mobility clinic or a supplier’s service center for replacement of a broken or worn swingaway, detachable footrest on a manual or power wheelchair. Typical patients include adults with mobility impairments from spinal cord injury, stroke, multiple sclerosis, severe osteoarthritis, or traumatic limb injury who rely on the wheelchair for activities of daily living. The workflow commonly includes verification of eligibility and coverage, inspection of the existing wheelchair to confirm footrest type, ordering the replacement footrest part K0052 (sold each), documenting the wheelchair make/model and serial number, obtaining any necessary prior authorization from the payor, and billing the supplier invoice with the appropriate HCPCS code and supporting documentation. A technician or certified ATP (Assistive Technology Professional) may perform the physical replacement and confirm fit and safety prior to patient handoff. Typical site of service is an outpatient DME supplier location, outpatient rehabilitation clinic, or the patient’s home when a home-delivery and installation service is provided.

Coding Specifications

Modifier	Description	When to Use
`LT`	Left side	Use when the replacement footrest is for the left side on items billed per side

HCPCS K0856: Power Wheelchair Group 3 Standard, 300 lb Capacity

HCPCS-K0046-ELEVATING-LEGREST-LOWER-EXTENSION-TUBE-REPLACEMENT

HCPCS K0046: Elevating Legrest Lower Extension Tube, Replacement Only

HCPCS-K0871-POWER-WHEELCHAIR-GROUP-4-VERY-HEAVY-DUTY-451-600-LB

HCPCS K0871: Power Wheelchair Group 4, 451–600 lb Capacity

HCPCS-K0020-FIXED-ADJUSTABLE-HEIGHT-ARMREST-PAIR

HCPCS K0020: Fixed, Adjustable Height Armrest, Pair

HCPCS-K0842-POWER-WHEELCHAIR-GROUP-2-CAPTAINS-CHAIR-300LBS

HCPCS K0842: Power Wheelchair Group 2, Captain's Chair, ≤300 lb

HCPCS-K0108-WHEELCHAIR-COMPONENT-ACCESSORY-NOS

HCPCS K0108: Wheelchair Component or Accessory, NOS

HCPCS-K0850-POWER-WHEELCHAIR-GROUP-3-HEAVY-DUTY-301-450-LB

HCPCS K0850: Power Wheelchair Group 3 Heavy Duty, 301–450 lb

HCPCS-K0826-POWER-WHEELCHAIR-VERY-HEAVY-DUTY-451-600LBS

HCPCS K0826: Power Wheelchair, Very Heavy Duty 451–600 lb

HCPCS-K0820-POWER-WHEELCHAIR-GROUP-2-PORTABLE-300LB-CAPACITY

HCPCS K0820: Power Wheelchair Group 2 Portable, Up to 300 lb

HCPCS-K0848-POWER-WHEELCHAIR-GROUP-3-STANDARD-300LB-CAPACITY

HCPCS Level II K0848: Power Wheelchair Group 3, Sling/Solid Seat, 300 lb Capacity

Showing 1–10 of 135

Taxonomy Code	Specialty	Notes
`215Z00000X`	Physical Medicine & Rehabilitation Physician	Physicians overseeing mobility and DME prescriptions
`3336C0003X`	Assistive Technology Supplier	Suppliers/technicians who provide and fit wheelchair components
`221H00000X`	Occupational Therapist	Clinicians who assess seating and positioning and may recommend footrest replacement
`2084P0800X`	Orthotist/Prosthetist	Providers who may be involved for complex seating systems
`103T00000X`	Physical Therapist	Clinicians who assess mobility needs and advise on wheelchair components

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G82.20`	Paraplegia, unspecified	Patients with paraplegia commonly require wheelchairs and periodic replacement parts such as footrests
`G81.90`	Hemiplegia, unspecified affecting unspecified side	Hemiplegic patients often use specialized seating and footrests for support
`M16.11`	Unilateral primary osteoarthritis of hip, right	Severe lower extremity arthritis can lead to wheelchair dependence and need for footrest replacement
`M17.11`	Unilateral primary osteoarthritis of knee, right	Lower extremity joint disease increases reliance on wheelchair equipment
`S72.001A`	Fracture of unspecified femur, initial encounter for closed fracture	Traumatic lower limb injury patients frequently require wheelchair components during recovery
`G35`	Multiple sclerosis	Progressive neuromuscular conditions increase DME usage and component replacements
`R26.9`	Unspecified abnormalities of gait and mobility	General mobility impairment often justifies wheelchair equipment and parts

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct one-on-one patient contact by the provider (use of dynamic activities to improve functional performance)	May be billed when therapist provides functional training with the wheelchair after part replacement
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	May be used if a clinician documents medical necessity and assesses the patient related to DME need
`97760`	Orthotic management and training, upper extremity, lower extremity, and/or trunk, initial encounter	Applicable when training or fitting is required after fitting a new footrest on a complex seating system
`99070`	Supplies and materials (except spectacles), used by the physician or other qualified healthcare professional, billed separately	May be used for additional small parts or supplies provided during replacement
`T1013`	Wheelchair component repair; minor	Use when billing for minor repair services in conjunction with a replacement of a single component

OpenPayer