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See a sample rate comparisonHCPCS K0900 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.
Customized durable medical equipment, other than wheelchair
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Customized DME, Other Than Wheelchair |
| Complexity Level | Low |
National average reimbursement for HCPCS K0900 by major payers:
$79.71
$54.00
$1,493.55
$0.00
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HCPCS K0900
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See a sample payer proposalHCPCS K0900 vs. Other Customized DME, Other Than Wheelchair Codes
The HCPCS K0900 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Customized DME, Other Than Wheelchair. 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 K0900 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 |
|---|---|---|
| K0899-HCPCS | High | Power mobility device, not coded by DME PDAC or does not meet criteria |
| K0900-HCPCS | Low | Customized durable medical equipment, other than wheelchair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0900 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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