K0669 – Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac

HCPCS Level II code · K codes: Temporary Codes for DME

Active code Carrier judgment

HCPCS codeK0669
Long description
Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
Short description
Seat/back cus no dmepdac ver
Pricing indicator
32 DME – inexpensive & routinely purchased
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
D1D Wheelchairs
Added
July 1, 2004
Last change
July 1, 2010 – No change

Frequently asked questions

What is HCPCS code K0669?

K0669 is a HCPCS Level II code for wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac.

Does Medicare cover K0669?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby K codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.