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    v1.0.30
    OpenPayerBilling CodesComponents, Accessories and SuppliesHCPCS hcpcs-k1007-powered-bilateral-lower-extremity-orthosis
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    HCPCS K1007: Bilateral Powered Hip/Knee/Ankle/Foot Device

    HCPCS Level II code K1007 describes a powered bilateral lower‑limb orthopedic/exoskeleton device that includes a pelvic component, single or double uprights, knee joints (any type), with or without ankle joints, and all motors, microprocessors, sensors, components, and accessories; service type: provision and fitting of a powered bilateral hip/knee/ankle/foot orthotic system; typical site of service: durable medical equipment supplier, outpatient orthotics/prosthetics clinic, or hospital outpatient setting.

    For related coverage guidance, see recent payer policy updates: Hospital Beds Corporate Medical Policy, Patient Lifts, Home Non-Invasive Positive Pressure Ventilation (NIPPV) Devices for Respiratory Insufficiency and Failure.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 56-year-old male with long-standing neuromuscular weakness and bilateral lower-extremity joint instability presents for provision of a powered bilateral hip–knee–ankle–foot orthosis described by billing code K1007. The patient ambulates with significant energy expenditure, frequent stumbles, and progressive decline in community mobility. Therapy and prior orthoses were insufficient. A physiatrist evaluates gait, performs a detailed musculoskeletal and neurological exam, documents objective gait impairment, and orders gait analysis and measurements. An orthotist performs casting and fitting visits; the device includes pelvic component, single or double uprights, knee joints, ankle joints, embedded motors, microprocessors and sensors for powered assistance. The clinical workflow includes: initial physician evaluation and documentation of functional deficits; preauthorization with the patient’s payor (for example, Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, BUCA, Medicare); ordering of the custom powered orthosis; orthotic fabrication and iterative fittings; training with physical therapy for device use, donning/doffing, and safety; and final physician sign-off for delivery and durable medical equipment billing. Follow-up visits assess fit, alignment, and functional gains, with adjustments billed as appropriate.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97760Orthotic management and training, initial encounter; with training by provider, with evaluation and fitting of orthosis, one or more areas, lower extremityCommonly performed by physical therapists at initial device delivery and training sessions.
    97761Prosthetic training, initial encounterUsed if prosthetic-style training protocols are applied for gait and device ambulation techniques.
    97530Therapeutic activities, direct (one-on-one) patient contactUsed during therapy sessions to improve functional mobility with the powered orthosis.
    99214Office or other outpatient visit for the evaluation and management of an established patient, moderate complexityUsed by the physiatrist for follow-up visits documenting device effectiveness and medical necessity.
    97763Orthotic and prosthetic supply, fitting and adjustment of a prosthesis or orthosisUsed for billing specific fitting/adjustment services associated with device delivery.

    Related Modifiers

    7 rows

    ModifierDescriptionWhen to Use
    22Modifier –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…
    52Modifier ‑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…
    53Modifier 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…
    62Modifier 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…
    78CPT 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…
    80CPT® 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…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    225100000X
    333600000X
    208000000X
    207Q00000X
    282N00000X
    364SP2800X
    2081P0010X
    207SG0201X

    Related ICD-10-CM Codes

    25 rows

    ICD-10-CM CodeDescription
    G60.9Hereditary and idiopathic neuropathy, unspecified
    G82.20Paraplegia, unspecified
    M16.11Unilateral primary osteoarthritis, right hip
    M16.12Unilateral primary osteoarthritis, left hip
    M17.0Bilateral primary osteoarthritis of knee
    M17.11Unilateral primary osteoarthritis, right knee
    M17.12Unilateral primary osteoarthritis, left knee
    M17.9Osteoarthritis of knee, unspecified
    M20.11Hallux valgus (acquired), right foot
    M20.12Hallux valgus (acquired), left foot

    Showing 1–10 of 25

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 2

    10 rows

    PolicyPayerEffective Date
    Hospital Beds Corporate Medical Policybcbsvermont2027-01-01
    Patient Liftsuniverahealthcare2026-11-16
    Home Non-Invasive Positive Pressure Ventilation (NIPPV) Devices for Respiratory Insufficiency and Failureexcellus_health_plan_inc2026-10-15
    Positive Airway Pressure Devices for Pulmonary Disorders Continued RentalCareSource Georgia2026-10-01
    Bone Growth StimulatorsProvidence Health Plan2026-10-01
    Durable Medical Equipment (DME) Medical Necessity and CoverageMass General Brigham Health Plan2026-10-01
    Speech Generating DevicesMass General Brigham Health Plan2026-10-01
    Interferential Stimulation Devices (for home use)Moda Health2026-10-01
    Durable Medical Equipment (DME): Tumor Treating Fields (Alternating Electric Field Therapy) Medical GuidelineWPS Health Insurance2026-10-01
    Durable Medical Equipment (DME): Bone Growth Stimulators Medical GuidelineWPS Health Insurance2026-10-01

    Related Codes

    HCPCS-K1004-LOW-FREQUENCY-ULTRASONIC-DIATHERMY-HOME-DEVICE

    HCPCS Level II K1004: Low-Frequency Ultrasonic Diathermy for Home Use

    HCPCS-K1005-DISPOSABLE-BREAST-MILK-COLLECTION-STORAGE-BAG

    HCPCS K1005: Disposable Breast Milk Collection and Storage Bag

    HCPCS-K1006-HOME-SUCTION-PUMP-URINE-MANAGEMENT

    HCPCS Level II K1006: Home Suction Pump for External Urine Management

    HCPCS-K1009-SPEECH-VOLUME-MODULATION-SYSTEM

    HCPCS K1009: Speech Volume Modulation System

    HCPCS-K1010-INDWELLING-INTRAURETHRAL-DRAINAGE-DEVICE-REPLACEMENT

    HCPCS K1010: Indwelling Intraurethral Drainage Device with Valve, Replacement Only

    HCPCS-K1011-ACTIVATION-DEVICE-INTRAURETHRAL-DRAINAGE-VALVE-REPLACEMENT

    HCPCS K1011: Activation Device for Intraurethral Drainage Valve, Replacement Only

    HCPCS-K1012-CHARGER-BASE-INTRAURETHRAL-ACTIVATION-DEVICE-REPLACEMENT

    HCPCS Level II K1012: Charger and Base Station for Intraurethral Activation Device, Replacement Only

    HCPCS-K1013-ENEMA-TUBE-REPLACEMENT

    HCPCS Level II K1013: Enema Tube, Replacement Only

    HCPCS-K1014-ENDOSKELETAL-KNEE-SHIN-4-BAR-FLUID-CONTROL

    HCPCS K1014: Endoskeletal Knee-Shin System, Multiaxial, Fluid Swing/Stance Control

    HCPCS-K1015-FOOT-ADDUCTUS-POSITIONING-DEVICE-ADJUSTABLE

    HCPCS K1015: Foot Adductus Positioning Device, Adjustable

    Showing 1–10 of 32

    Frequently Asked Questions

    References

    1. 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. 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. 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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