Correct Coding - Incorrect Use of HCPCS Code K0108 To Bill for an Actuator


Recent reports have identified that suppliers are billing Healthcare Common Procedure Coding System (HCPCS) code K0108 (WHEELCHAIR COMPONENT OR ACCESSORY, NOT OTHERWISE SPECIFIED) for a wheelchair actuator. An actuator is a device that receives signals from a controller then translates those signals into either rotary or linear movement. At initial issue, there is no separate billing for actuators. Actuators are included in the code for the components that contain them. Separate billing for an actuator is allowed only for replacement of a malfunctioning item. When billing for a replacement actuator, the correct code to bill is:

E2378 - POWER WHEELCHAIR COMPONENT, ACTUATOR, REPLACEMENT ONLY

Published by Noridian as the PDAC, March 2018.  Republished by Palmetto GBA as the PDAC, January 2019



Last Updated: 03/27/2018