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HCPCS K1014: Endoskeletal Knee-Shin System with Fluid Swing/Stance Control
HCPCS Level II code K1014 denotes an addition for an endoskeletal knee-shin system featuring a 4-bar linkage or multiaxial design with fluid-controlled swing and stance phase modulation. This component represents an advanced orthotic solution for patients who need dynamic knee control to improve gait stability and function. Nationally, the code matters because it identifies higher-complexity orthotic components that can affect coverage decisions, supplier billing practices, and clinical device selection.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code's clinical application and service setting, plus payor coverage considerations and common modifiers used in claims processing. The publication outlines expected benchmarks for utilization and coding practices, summarizes relevant policy updates affecting orthotic component reimbursement, and provides clinical context to aid coding accuracy and documentation.
This summary is intended for a national audience of clinicians, durable medical equipment suppliers, and coding professionals seeking clear information on code purpose, typical site of service, and payer coverage patterns. Data not available in the input is indicated where applicable.
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Billing Code Overview
HCPCS Level II code K1014 describes an addition for an endoskeletal knee-shin orthotic system that uses a 4-bar linkage or multiaxial mechanism with fluid swing and stance phase control. This component is used to provide advanced mechanical control of knee and lower leg motion for patients requiring durable medical equipment for ambulation support.
Service Type: Orthotic component for lower extremity (knee-ankle-foot orthosis addition)
Typical Site of Service: Outpatient durable medical equipment fitting and provision, including orthotics clinics and durable medical equipment suppliers providing patient fittings and follow-up adjustments.