HCPCS Code K0195: Elevating Leg Rests, Pair (for Use with Capped Rental Wheelchair Base)

Learn about the HCPCS code K0195 for elevating leg rests, pair (for use with capped rental wheelchair base), through this guide.

Use Code

## **What is the HCPCS code K0195 for?** The HCPCS code K0195 is meant to designate "elevating leg rests, pair (for use with capped rental wheelchair base)." This is intended for use when the service of attaching a pair of elevating leg rests has been purchased and rendered. These are meant to be attached to a capped rental wheelchair base. Elevating leg rests are wheelchair accessories designed to support and elevate a patient's legs. These are often recommended to patients who have musculoskeletal, neurological conditions, or injuries that negatively impact the strength, mobility, and range of motion of the legs to the point that they can't stand, or at least have difficulties standing. The benefit of using these attachable components includes better comfort for the legs, potentially reducing swelling, and promoting improved circulation. Remember that this can be used on capped rental wheelchair bases that can be adjusted/customized and accommodate such accessories.

## **Documentation requirements for K0195** For K0195, please prepare the following documentation before filing a claim: - A standard written order (SWO) for the accessories and pricing - The beneficiary's qualifying condition and diagnosis as a reference to support/determine the medical necessity (e.g., post-surgical care, fractures, soft tissue damage, swollen legs, etc.) - The capped rental wheelchair model - Delivery records (proof of delivery) and record of continued need/use

## **Billing requirements for K0195** Besides the documentation requirements above, please ensure that you use the appropriate HCPCS code for the specific wheelchair that the beneficiary is using. Use the modifier RR since the wheelchair is supposed to be a rental. Please refer to the guidelines set by the CMS for information regarding other specific modifiers to use. Also, remember that this is for a pair, so this code isn't applicable if you're only filing for a single leg elevating rest. One pair equals one unit.

## **Other similar codes** - **E0990** - Wheelchair accessory, elevating leg rest, complete assembly, each - **E1222** - Wheelchair with fixed arm, elevating legrests - **E1010** - Wheelchair accessory, addition to power seating system, power leg elevation system, including legrests - **E1224** - Wheelchair with detachable arms, elevating legrests - **K0046** - Elevating legrest, lower extension tube, replacement only, each

Frequently asked questions

It will likely take between 15 to 30 minutes.

Yes, but they are rare. If the leg rests are not attached properly, they might collapse and cause injury. Also, elevating the leg rests should be measured and done with the beneficiary's comfort in mind. If they are over-elevated, they might just feel uncomfortable. It might even worsen circulation in the legs.

Alternatives include custom orthopedic supports and portable elevated leg cushions.