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See a sample rate comparisonHCPCS K0069 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.
Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Wheelchairs, Components, and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for K0069 |
National average reimbursement for HCPCS K0069 by major payers:
$72.95
$69.80
$72.07
$132.31
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HCPCS K0069
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$118.20Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$70.81Published rateTaylor Regional Hospital
$64.94Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$44.04Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$5.94Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS K0069 vs. Other Wheelchairs, Components, and Accessories Codes
The HCPCS K0069 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 K0069 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.
| Code | Complexity | Description |
|---|---|---|
| K0065-HCPCS | Low | Spoke protectors, each |
| K0069-HCPCS | Low | Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each |
| K0070-HCPCS | Low | Rear wheel assembly, complete, with pneumatic tire, spokes or molded, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0069. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0069 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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