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HCPCS K0053 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Elevating footrests, articulating (telescoping), each
Key FactDetail
Service Type

Durable medical equipment (DME) Medicare administrative contractors (MACs)

Wheelchairs, Components, and Accessories

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for K0053

National average reimbursement for HCPCS K0053 by major payers:

bcbs

$61.27

uhc

$66.06

aetna

$60.41

cigna

$117.79

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS K0053.

HCPCS K0053
5 of 25 sample ratesHigher to lower in this preview
  1. The Hospital Authority Of Habersham County

    GARural Acute Care HospitalNPI 1689736282Tax ID 58-6002961

    $96.40Published rate
  2. Hospital Authority Of Washington County, Washington County Regional Medical Center

    Hospital Authority Of Washington County

    GARural Acute Care HospitalNPI 1396770004Tax ID 58-6012329

    $58.72Published rate
  3. St. Francis Radiologists, LLC

    GAGeneral Acute Care HospitalNPI 1235306648Tax ID 47-5419443

    $44.04Published rate
  4. Emory Crawford Long Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1225281603Tax ID 58-1537752

    $16.82Published rate
  5. Piedmont Newton Hospital, Inc., Newton Medical Center

    Piedmont Newton Hospital Inc

    GAGeneral Acute Care HospitalNPI 1760498588Tax ID 58-2155150

    $6.57Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS K0053 vs. Other Wheelchairs, Components, and Accessories Codes

The HCPCS K0053 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Wheelchairs, Components, and Accessories. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS K0053 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
K0052-HCPCSLowSwingaway, detachable footrests, replacement only, each
K0053-HCPCSLowElevating footrests, articulating (telescoping), each
K0056-HCPCSLowSeat height less than 17 inch or equal to or greater than 21 inch for a high strength, lightweight, or ultralightweight wheelchair

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0053. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the K0053 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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