Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf

K0901
HCPCS Code

2023 HCPCS
Billable/Valid Code

K0901 is a valid 2023 HCPCS Code that could be used to indicate Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf for reimbursement purposes.

K0901 belongs to Lump Sum Purchase of DME, Prosthetics, Orthotics Type of Service and has been in effect since Jan 01, 2017.

Short description for K0901 HCPCS code:

Ko single upright pre ots

HCPCS K0901

K0901 code information

HCPCS code:	K0901
Description:	KNEE ORTHOSIS (KO), SINGLE UPRIGHT, THIGH AND CALF, WITH ADJUSTABLE FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC), MEDIAL-LATERAL AND ROTATION CONTROL, WITH OR WITHOUT VARUS/VALGUS ADJUSTMENT, PREFABRICATED, OFF-THE-SHELF
Effective Date:	Jan 01, 2017
Added Date:	Oct 01, 2014
Termination Date:	HCPCS K0901 was terminated on Dec 31, 2016
Pricing indicator:	`38` - ORTHOTICS, PROSTHETICS, PROSTHETIC DEVICES & VISION SERVICES (PRICE SUBJECT TO FLOORS AND CEILINGS)
Multi Pricing indicator:	`A` - NOT APPLICABLE AS HCPCS PRICED UNDER ONE METHODOLOGY
Coverage code:	`C` - CARRIER JUDGMENT
BETOS code:	`D1F` - ORTHOTIC DEVICES
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`P` - LUMP SUM PURCHASE OF DME, PROSTHETICS, ORTHOTICS
Anesthesia BUQ:	0

Codes related to K0901

Below a selection of HCPCS codes related to K0901

K0902

Ko double upright pre ots

K0900

Cstm dme other than wheelchr

K0901

Ko single upright pre ots

K0903

Mult den insert dir carv/cam