Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for Front Riggings: Calf Pad or Calf Support
Recent reports have identified that suppliers are billing Healthcare Common Procedure Coding System (HCPCS) code K0108 (WHEELCHAIR COMPONENT OR ACCESSORY, NOT OTHERWISE SPECIFIED) for a calf pad, calf support or for differing sizes of these items. Separate billing of code K0108 is not correct.
A calf pad is included with initial issue of an elevating leg rest and must not be billed separately. The correct code to bill for a calf pad or support when providing a complete elevating leg rest is:
A9900 - MISCELLANEOUS DME SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS CODE
Separate billing is allowed when providing a replacement pad. The correct code to use is:
E0995 - WHEELCHAIR ACCESSORY, CALF REST/PAD, REPLACEMENT ONLY, EACH
Published by Noridian as the PDAC, March 2018. Republished by Palmetto GBA as the PDAC, January 2019