{"id":176223,"date":"2026-08-12T13:20:24","date_gmt":"2026-08-12T13:20:24","guid":{"rendered":"https:\/\/pabau.com\/?p=176223"},"modified":"2026-08-12T13:49:48","modified_gmt":"2026-08-12T13:49:48","slug":"hcpcs-code-k0065","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/","title":{"rendered":"HCPCS code K0065: Spoke protectors, each"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS code K0065: Spoke protectors, each\",\"description\":\"HCPCS code K0065 covers spoke protectors for manual wheelchairs. Learn billing units, Medicare coverage under Policy Article A52504, fee schedule sources, documentation requirements, and related K-codes.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-k0065\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-12\",\"dateModified\":\"2026-08-12\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS code K0065 covers spoke protectors for manual wheelchairs, billed one unit per protector under Medicare Part B.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Coverage requires a signed detailed written order, known as a DWO, plus chart notes showing why the patient needs the item.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Reimbursement varies by MAC jurisdiction and changes every year, so verify figures in the CMS DMEPOS fee schedule.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A signed, dated proof of delivery is what protects the claim when a contractor asks for records.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau keeps the order, chart notes, and delivery proof on one patient record.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS code K0065 is a Level II Healthcare Common Procedure Coding System code maintained by the <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">Centers for Medicare and Medicaid Services (CMS)<\/a>. Its official descriptor is \u00ab\u00a0Spoke protectors, each.\u00a0\u00bb The code is active for dates of service in 2026 and sits in the K0001-K0195 wheelchair and accessories range.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Level II HCPCS codes cover products and supplies that the CPT code set does not represent. For K0065, the billing unit is \u00ab\u00a0each.\u00a0\u00bb Suppliers bill one unit per spoke protector dispensed, not one unit per set or per wheelchair.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Attribute<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">K0065<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spoke protectors, each<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code set<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HCPCS Level II<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wheelchair options and accessories (K0001-K0195)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supply \/ accessory<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billing unit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Status (2026)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Governing policy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS Policy Article A52504<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-what-are-spoke-protectors-and-who-needs-them\" class=\"wp-block-heading\">What are spoke protectors and who needs them?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Spoke protectors are disc-shaped guards that attach to the wheel of a manual wheelchair. They shield the spokes from contact with walls, doorframes, and furniture. That makes them a durability and safety accessory rather than a cosmetic upgrade.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The patients who benefit most use a manual wheelchair in tight indoor spaces, or have limited upper-body control. Once spokes bend or break, the wheel loses its structural integrity. A replacement wheel costs far more than the protector that would have saved it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The ordering physician should record the patient&rsquo;s mobility environment and any history of spoke damage in the chart. <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">Physical therapy<\/a> and <a href=\"https:\/\/pabau.com\/industry\/occupational-therapy-software\/\">occupational therapy<\/a> teams usually capture that detail during a home or workplace assessment, and their notes are what the order leans on.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Manual wheelchair users in high-contact indoor environments<\/li>\n\n\n\n<li>Patients with reduced upper-body coordination or spasticity<\/li>\n\n\n\n<li>High-mileage wheelchair users with documented spoke wear history<\/li>\n\n\n\n<li>Pediatric patients in school or therapy settings with narrow corridors<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-k0065-billing-code-attributes-and-crosswalk-information\" class=\"wp-block-heading\">K0065 billing units and crosswalk codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Correct billing starts with the unit. K0065 is billed per protector dispensed, so the quantity has to match the number of protectors rather than the number of wheels or wheelchairs. Accurate <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> stops the unit-count errors that trigger automated Medicare edits.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-k0065\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s claims and billing tools send each K0065 line out with its own unit count, so automated payer edits have nothing to catch.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Codes in the K0001-K0195 range cover manual and power wheelchair bases plus their accessories. Every accessory ordered at the same time keeps its own code on its own claim line. Bundling several accessories into one line item is a frequent source of rejection. Check the descriptor in the <a href=\"https:\/\/www.aapc.com\/codes\/hcpcs-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC HCPCS lookup<\/a> before you submit a code you bill rarely.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Billing unit<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0065<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spoke protectors, each<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0195<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Elevating leg rests, pair (for use with capped rental wheelchair base)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Pair, billed as one unit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0108<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wheelchair component or accessory, not otherwise specified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E1035<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multi-positional patient transfer system, with integrated seat, operated by care giver, weight capacity up to and including 300 lbs.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Read the unit column before you key the quantity. K0065 pays per protector, so two protectors are two units. K0195 covers a pair and still bills as one unit, and it only applies to a rented wheelchair base. Mixing those two habits up is one of the quieter reasons accessory lines come back rejected.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If no specific code describes the accessory dispensed, K0108 is the fallback. Use K0065 whenever the item matches the spoke protector descriptor. Reaching for K0108 when K0065 applies lowers the payment and raises audit risk at the same time.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Bill K0065 per each spoke protector dispensed, not per wheelchair. If a patient receives two spoke protectors, bill two units. Document the quantity in the DWO and on the delivery confirmation to prevent Medicare audits questioning unit accuracy.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-medicare-coverage-for-k0065-spoke-protectors\" class=\"wp-block-heading\">Medicare coverage for K0065 spoke protectors<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B covers K0065 under the DMEPOS benefit, which stands for durable medical equipment, prosthetics, orthotics, and supplies. CMS Policy Article A52504 governs wheelchair options and accessories, and it lists K0065 among covered items. Coverage is never automatic. It depends on medical necessity, a treating physician&rsquo;s order, and a Medicare-enrolled DMEPOS supplier.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Contractors can ask for the file at any point after dispensing, so <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">medical documentation workflows<\/a> have to hold up months later. Standard Part B cost-sharing applies to the item itself.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Once the beneficiary meets the annual deductible, Medicare covers 80% of the approved amount. The remaining 20% is coinsurance. Supplemental insurance or Medicaid may pick up that balance, though the rules vary by state and plan.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Covered:<\/strong> Spoke protectors ordered as medically necessary wheelchair accessories with a valid DWO<\/li>\n\n\n\n<li><strong>Covered:<\/strong> Replacement spoke protectors when prior units are worn or broken, with documentation of the damage<\/li>\n\n\n\n<li><strong>Not covered:<\/strong> Spoke protectors dispensed without a physician order<\/li>\n\n\n\n<li><strong>Not covered:<\/strong> Items ordered as upgrades or preferences without documented clinical need<\/li>\n\n\n\n<li><strong>State-dependent:<\/strong> Medicaid coverage for K0065 varies by state. Confirm the requirements with the state Medicaid agency before billing<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-k0065-fee-schedule-and-reimbursement-rates\" class=\"wp-block-heading\">K0065 fee schedule and reimbursement rates<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays K0065 from the DMEPOS fee schedule, which CMS updates every year. Rates differ by MAC jurisdiction, the Medicare Administrative Contractor that processes the claim. Spoke protectors are almost always purchased rather than rented, so the purchase allowable is the figure to check.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because those figures move with each annual update, confirm the current rate in the <a href=\"https:\/\/www.cms.gov\/medicare\/payment\/fee-schedules\/dmepos\" target=\"_blank\" rel=\"nofollow noopener\">CMS DMEPOS fee schedule<\/a> rather than a static reference. Any rate printed in a guide like this one reflects the year it was written.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other DMEPOS categories sit on the same schedule and follow the same annual cycle, including orthotic codes such as <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-l0458\/\">L0458<\/a>. Commercial payers and Medicaid set their own rates, which can land above or below the Medicare allowable, so confirm each contract separately.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Rate type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Where to verify<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">National average (purchase)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varies; confirm annually via CMS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS DMEPOS fee schedule<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Regional MAC rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Jurisdiction-specific; may differ from national average<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Noridian, CGS, Palmetto GBA portals<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicaid rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">State-determined; no uniform national rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">State Medicaid agency fee schedules<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial payer rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Contracted rate per payer agreement<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Individual payer contracts<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Tracking K0065 payments by payer over time shows which jurisdictions pay below the expected allowable. That pattern usually points to a modifier error or a coordination-of-benefits sequencing problem rather than a policy change. An <a href=\"https:\/\/pabau.com\/blog\/ehr-integration\/\">EHR integration<\/a> can run payer-specific rate checks at the point of submission.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-billing-k0065\" class=\"wp-block-heading\">Documentation requirements for billing K0065<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CMS Policy Article A52504 sets out what suppliers must obtain and keep before dispensing spoke protectors. Miss one required element and a contractor has grounds to deny the claim or recoup the payment on audit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Incomplete DWOs cause more K0065 denials than anything else. <a href=\"https:\/\/pabau.com\/blog\/why-you-should-keep-client-records-up-to-date\/\">Keeping patient records current<\/a> and flagging unsigned or undated orders before dispensing prevents most of them. Structured <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> help too, because the clinical detail arrives with the order instead of after it.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-k0065\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s customizable intake and consent forms capture the mobility detail a K0065 order needs before the patient leaves the room.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Detailed Written Order (DWO):<\/strong> Required before dispensing. It must name the beneficiary, the treating physician, and the physician&rsquo;s National Provider Identifier (NPI). It must also describe the item, state the quantity ordered, and carry the physician&rsquo;s signature and date<\/li>\n\n\n\n<li><strong>Medical necessity documentation:<\/strong> Chart notes explaining why the patient needs spoke protectors. The treating physician should record the mobility environment and the risk of spoke damage<\/li>\n\n\n\n<li><strong>Proof of delivery:<\/strong> A signed delivery confirmation showing the beneficiary or designee received the item, with the date of delivery and item description<\/li>\n\n\n\n<li><strong>Supplier enrollment:<\/strong> The dispensing supplier must be enrolled as a Medicare DMEPOS supplier with a valid supplier number<\/li>\n\n\n\n<li><strong>Prior authorization:<\/strong> K0065 does not currently appear on the CMS required prior authorization list for wheelchair accessories. The list is updated periodically, so confirm the position with your MAC<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Attach the DWO, the necessity notes, and the delivery proof to the claim record in your <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">client record management<\/a> system. Store them under the same <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA safeguards<\/a> as the rest of the chart, because a DMEPOS audit means producing protected health information.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That order-before-delivery sequence is not unique to spoke protectors. Suppliers billing bath safety equipment under <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0248\/\">E0248<\/a> or a pediatric bed under <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0329\/\">E0329<\/a> work through the same checklist, in the same order.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-k0065\/comprehensive-emr-patient-record-management.webp\" alt=\"Comprehensive EMR and patient record management\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s client records hold the order, the chart notes, and the delivery proof for every K0065 claim in one file.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-common-billing-mistakes-to-avoid-with-k0065\" class=\"wp-block-heading\">Common billing mistakes to avoid with K0065<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">K0065 denials follow predictable patterns. The errors below account for most rejected or recouped spoke protector claims across Medicare and commercial payers.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Missing or unsigned DWO:<\/strong> The single most common denial trigger. An order without the physician&rsquo;s signature is invalid under CMS rules. Verify the DWO is complete and dated before dispensing<\/li>\n\n\n\n<li><strong>Incorrect unit billing:<\/strong> Billing two spoke protectors as one unit, or a quantity that does not match the DWO, triggers automated edits. Bill per each unit exactly as ordered<\/li>\n\n\n\n<li><strong>Using K0108 instead of K0065:<\/strong> Billing the not otherwise specified code when K0065 applies reduces reimbursement and increases audit scrutiny. Use the most specific code available<\/li>\n\n\n\n<li><strong>Missing medical necessity in chart notes:<\/strong> A DWO alone is not enough. The physician&rsquo;s documentation has to support why spoke protectors are medically necessary for this specific patient<\/li>\n\n\n\n<li><strong>Billing without proof of delivery:<\/strong> Medicare requires a signed delivery confirmation. Claims submitted before delivery is confirmed risk recoupment on post-payment review<\/li>\n\n\n\n<li><strong>Ignoring Medicaid state rules:<\/strong> When billing Medicaid as primary or secondary, apply that state&rsquo;s coverage and documentation requirements. Federal Medicare rules do not carry over automatically<\/li>\n<\/ul>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a monthly audit of K0065 claims submitted over the prior 90 days. Check for unsigned DWOs, unit mismatches, and missing delivery confirmations before Medicare contractors identify them first. Early internal audits prevent costly recoupment demands.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-related-hcpcs-codes-for-wheelchair-accessories\" class=\"wp-block-heading\">Related HCPCS codes for wheelchair accessories<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">K0065 sits inside a family of K-codes covering wheelchair bases, components, and accessories. Knowing the adjacent codes keeps each accessory on its own code instead of defaulting to a catch-all. The table below lists the codes billed most often alongside K0065.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">HCPCS code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When used<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0065<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Spoke protectors, each<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Billing spoke protectors for a manual wheelchair<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0001<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Standard wheelchair<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Base code for a standard manual wheelchair<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0056<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Seat height less than 17 in. or equal to or greater than 21 in., for a high strength, lightweight, or ultralightweight wheelchair<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Non-standard seat height on a lightweight chair<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0069<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Replacing a complete rear wheel assembly<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0072<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Front caster assembly, complete, with semi-pneumatic tire, replacement only, each<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Replacing a front caster assembly<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K0108<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wheelchair component or accessory, not otherwise specified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Accessory with no specific code; avoid when K0065 applies<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Every item on a multi-accessory claim needs its own line and its own code. Grouping accessories under one code breaks Medicare submission rules and ends in a denial or a downward adjustment. <a href=\"https:\/\/pabau.com\/blog\/practice-management-software-features\/\">Practice management software features<\/a> that enforce per-item coding catch grouping errors before submission.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-keeps-k0065-claims-audit-ready\" class=\"wp-block-heading\">How Pabau keeps K0065 claims audit-ready<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In a lot of DME operations the order sits in one system and the chart notes in another. The signed delivery slip lives in an email folder. When a contractor asks for records two years later, someone has to rebuild that file by hand.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps all three in the same place. The order, the intake answers, the necessity notes, and the delivery confirmation attach to the patient record, so every K0065 claim carries its own evidence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Billing teams can also see which claims are missing a signature or a delivery date before anything goes out the door. Answering a record request becomes a lookup instead of a week of chasing paper, and fewer clean claims turn into recoupments.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep DME documentation audit-ready                <\/h3>\n\n                <p class=\"description\">\n                    Pabau keeps DWOs, chart notes, and delivery proof on one patient record. Your K0065 claims go out complete and stay ready for a record request years later.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">K0065 is a small-dollar code with an outsized denial rate, and the sequence of the paperwork is usually the cause. The order has to be signed before the protector leaves the shelf, not after the claim comes back.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Get the signature before delivery, bill one unit per protector, and file the delivery slip with the chart. Suppliers who do those three things every time stop writing off low-value accessories, and they stop dreading record requests.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trade-off worth remembering is time. A few minutes of documentation at the point of order costs far less than a recoupment two years later. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps DME orders, chart notes, and delivery proof on one record.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing dialysis supplies as well?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-a4771\/\">A4771<\/a> sets out the units and records payers expect on those supply claims.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding audiometry alongside equipment?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-s0618\/\">S0618<\/a> explains the coverage rules and the documentation that supports the claim.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Working with Medicaid-funded services?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-t2016\/\">T2016<\/a> shows how per-diem billing and state rules change the paperwork.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the clinical detail on file first?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/history-and-physical-form\/\">History and physical form<\/a> gives you a structured way to record the findings behind an order.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786522024173\"><h3 class=\"schema-faq-question\">What is HCPCS code K0065 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS code K0065 is used to bill spoke protectors for manual wheelchairs under Medicare Part B and other payers. It is a Level II code in the wheelchair options and accessories category, K0001-K0195. Suppliers bill one unit per protector dispensed, against a physician&rsquo;s order.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522024174\"><h3 class=\"schema-faq-question\">Does Medicare cover K0065 spoke protectors?<\/h3> <p class=\"schema-faq-answer\">Yes, Medicare Part B covers K0065 under the DMEPOS benefit per CMS Policy Article A52504. Coverage requires a detailed written order from a treating physician, documented medical necessity, and dispensing by a Medicare-enrolled DMEPOS supplier. Standard Part B cost-sharing applies. Medicare covers 80% of the approved amount once the deductible is met.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522024175\"><h3 class=\"schema-faq-question\">What documentation is required to bill K0065?<\/h3> <p class=\"schema-faq-answer\">Billing K0065 requires a signed Detailed Written Order (DWO) obtained before dispensing. You also need medical necessity notes in the patient&rsquo;s chart, a signed proof of delivery, and a valid Medicare DMEPOS supplier number. Missing any one element can lead to denial or recoupment on audit.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522024176\"><h3 class=\"schema-faq-question\">What is the reimbursement rate for K0065?<\/h3> <p class=\"schema-faq-answer\">Medicare reimbursement for K0065 varies by MAC jurisdiction and changes annually through the DMEPOS fee schedule. Verify the current figure in the CMS DMEPOS fee schedule at the start of each plan year. Medicaid and commercial rates are set independently and can differ from the Medicare average.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522024177\"><h3 class=\"schema-faq-question\">What related HCPCS codes are in the wheelchair accessories range?<\/h3> <p class=\"schema-faq-answer\">The K0001-K0195 range covers manual wheelchair bases, power wheelchair bases, and their accessories. K0065 covers spoke protectors, K0069 covers a complete rear wheel assembly, and K0072 covers a complete front caster assembly. Use K0108 only when no specific code describes the accessory billed.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522024178\"><h3 class=\"schema-faq-question\">Are spoke protectors covered under Medicaid?<\/h3> <p class=\"schema-faq-answer\">Medicaid coverage for spoke protectors under K0065 varies by state. Each state program sets its own coverage criteria, prior authorization requirements, and reimbursement rates. Never assume Medicare criteria apply to a Medicaid claim. Confirm the requirements with the state Medicaid agency before dispensing.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>HCPCS code K0065 is a Level II Healthcare Common Procedure Coding System code maintained by the Centers for Medicare and Medicaid Services (CMS). Its official descriptor is \u00ab\u00a0Spoke protectors, each.\u00a0\u00bb The code is active for dates of service in 2026 and sits in the K0001-K0195 wheelchair and accessories range. Level II HCPCS codes cover products [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":176222,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"80","_yoast_wpseo_content_score":"60","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[1606,2948,1582,3471],"class_list":["post-176223","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","tag-dme-billing","tag-dme-codes","tag-hcpcs","tag-medicare-dme-coverage"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS code K0065: Spoke protector billing and coverage<\/title>\n<meta name=\"description\" content=\"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS code K0065: Spoke protector billing and coverage\" \/>\n<meta property=\"og:description\" content=\"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-12T13:20:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-12T13:49:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-k0065.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"HCPCS code K0065: Spoke protectors, each\",\"datePublished\":\"2026-08-12T13:20:24+00:00\",\"dateModified\":\"2026-08-12T13:49:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/\"},\"wordCount\":2286,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-k0065.webp\",\"keywords\":[\"Dme Billing\",\"Dme Codes\",\"Hcpcs\",\"Medicare dme coverage\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\"],\"inLanguage\":\"fr-FR\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/\",\"name\":\"HCPCS code K0065: Spoke protector billing and coverage\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-k0065.webp\",\"datePublished\":\"2026-08-12T13:20:24+00:00\",\"dateModified\":\"2026-08-12T13:49:48+00:00\",\"description\":\"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024173\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024174\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024175\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024176\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024177\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024178\"}],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-k0065.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-k0065.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"width\":736,\"height\":195,\"caption\":\"Pabau\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Pabau\\\/\",\"https:\\\/\\\/x.com\\\/pabaucrm\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/pabau-ltd\\\/\",\"https:\\\/\\\/www.instagram.com\\\/pabausoftware\\\/\"],\"description\":\"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\",\"name\":\"Maja Popovska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"caption\":\"Maja Popovska\"},\"description\":\"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/blog\\\/author\\\/maja-popovska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024173\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024173\",\"name\":\"What is HCPCS code K0065 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"HCPCS code K0065 is used to bill spoke protectors for manual wheelchairs under Medicare Part B and other payers. It is a Level II code in the wheelchair options and accessories category, K0001-K0195. Suppliers bill one unit per protector dispensed, against a physician's order.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024174\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024174\",\"name\":\"Does Medicare cover K0065 spoke protectors?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes, Medicare Part B covers K0065 under the DMEPOS benefit per CMS Policy Article A52504. Coverage requires a detailed written order from a treating physician, documented medical necessity, and dispensing by a Medicare-enrolled DMEPOS supplier. Standard Part B cost-sharing applies. Medicare covers 80% of the approved amount once the deductible is met.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024175\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024175\",\"name\":\"What documentation is required to bill K0065?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Billing K0065 requires a signed Detailed Written Order (DWO) obtained before dispensing. You also need medical necessity notes in the patient's chart, a signed proof of delivery, and a valid Medicare DMEPOS supplier number. Missing any one element can lead to denial or recoupment on audit.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024176\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024176\",\"name\":\"What is the reimbursement rate for K0065?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare reimbursement for K0065 varies by MAC jurisdiction and changes annually through the DMEPOS fee schedule. Verify the current figure in the CMS DMEPOS fee schedule at the start of each plan year. Medicaid and commercial rates are set independently and can differ from the Medicare average.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024177\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024177\",\"name\":\"What related HCPCS codes are in the wheelchair accessories range?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The K0001-K0195 range covers manual wheelchair bases, power wheelchair bases, and their accessories. K0065 covers spoke protectors, K0069 covers a complete rear wheel assembly, and K0072 covers a complete front caster assembly. Use K0108 only when no specific code describes the accessory billed.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024178\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/procedure-codes\\\/hcpcs-code-k0065\\\/#faq-question-1786522024178\",\"name\":\"Are spoke protectors covered under Medicaid?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicaid coverage for spoke protectors under K0065 varies by state. Each state program sets its own coverage criteria, prior authorization requirements, and reimbursement rates. Never assume Medicare criteria apply to a Medicaid claim. Confirm the requirements with the state Medicaid agency before dispensing.\",\"inLanguage\":\"fr-FR\"},\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"HCPCS code K0065: Spoke protector billing and coverage","description":"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/","og_locale":"fr_FR","og_type":"article","og_title":"HCPCS code K0065: Spoke protector billing and coverage","og_description":"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.","og_url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-12T13:20:24+00:00","article_modified_time":"2026-08-12T13:49:48+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-k0065.webp","type":"image\/webp"}],"author":"Maja Popovska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"\u00c9crit par":"Maja Popovska","Dur\u00e9e de lecture estim\u00e9e":"11 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/"},"author":{"name":"Maja Popovska","@id":"https:\/\/pabau.com\/fr\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db"},"headline":"HCPCS code K0065: Spoke protectors, each","datePublished":"2026-08-12T13:20:24+00:00","dateModified":"2026-08-12T13:49:48+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/"},"wordCount":2286,"publisher":{"@id":"https:\/\/pabau.com\/fr\/#organization"},"image":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-k0065.webp","keywords":["Dme Billing","Dme Codes","Hcpcs","Medicare dme coverage"],"articleSection":["Billing Codes","HCPCS"],"inLanguage":"fr-FR"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/","url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/","name":"HCPCS code K0065: Spoke protector billing and coverage","isPartOf":{"@id":"https:\/\/pabau.com\/fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-k0065.webp","datePublished":"2026-08-12T13:20:24+00:00","dateModified":"2026-08-12T13:49:48+00:00","description":"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.","mainEntity":[{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024173"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024174"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024175"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024176"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024177"},{"@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024178"}],"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-k0065.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-k0065.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/fr\/#website","url":"https:\/\/pabau.com\/fr\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/fr\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/pabau.com\/fr\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/pabau.com\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","width":736,"height":195,"caption":"Pabau"},"image":{"@id":"https:\/\/pabau.com\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Pabau\/","https:\/\/x.com\/pabaucrm","https:\/\/www.linkedin.com\/company\/pabau-ltd\/","https:\/\/www.instagram.com\/pabausoftware\/"],"description":"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.","foundingDate":"2011-10-20","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"201","maxValue":"500"}},{"@type":"Person","@id":"https:\/\/pabau.com\/fr\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db","name":"Maja Popovska","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","caption":"Maja Popovska"},"description":"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.","url":"https:\/\/pabau.com\/fr\/blog\/author\/maja-popovska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024173","position":1,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024173","name":"What is HCPCS code K0065 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"HCPCS code K0065 is used to bill spoke protectors for manual wheelchairs under Medicare Part B and other payers. It is a Level II code in the wheelchair options and accessories category, K0001-K0195. Suppliers bill one unit per protector dispensed, against a physician's order.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024174","position":2,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024174","name":"Does Medicare cover K0065 spoke protectors?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes, Medicare Part B covers K0065 under the DMEPOS benefit per CMS Policy Article A52504. Coverage requires a detailed written order from a treating physician, documented medical necessity, and dispensing by a Medicare-enrolled DMEPOS supplier. Standard Part B cost-sharing applies. Medicare covers 80% of the approved amount once the deductible is met.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024175","position":3,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024175","name":"What documentation is required to bill K0065?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Billing K0065 requires a signed Detailed Written Order (DWO) obtained before dispensing. You also need medical necessity notes in the patient's chart, a signed proof of delivery, and a valid Medicare DMEPOS supplier number. Missing any one element can lead to denial or recoupment on audit.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024176","position":4,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024176","name":"What is the reimbursement rate for K0065?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare reimbursement for K0065 varies by MAC jurisdiction and changes annually through the DMEPOS fee schedule. Verify the current figure in the CMS DMEPOS fee schedule at the start of each plan year. Medicaid and commercial rates are set independently and can differ from the Medicare average.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024177","position":5,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024177","name":"What related HCPCS codes are in the wheelchair accessories range?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The K0001-K0195 range covers manual wheelchair bases, power wheelchair bases, and their accessories. K0065 covers spoke protectors, K0069 covers a complete rear wheel assembly, and K0072 covers a complete front caster assembly. Use K0108 only when no specific code describes the accessory billed.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"},{"@type":"Question","@id":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024178","position":6,"url":"https:\/\/pabau.com\/fr\/procedure-codes\/hcpcs-code-k0065\/#faq-question-1786522024178","name":"Are spoke protectors covered under Medicaid?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicaid coverage for spoke protectors under K0065 varies by state. Each state program sets its own coverage criteria, prior authorization requirements, and reimbursement rates. Never assume Medicare criteria apply to a Medicaid claim. Confirm the requirements with the state Medicaid agency before dispensing.","inLanguage":"fr-FR"},"inLanguage":"fr-FR"}]}},"yoast":{"focus_keyword":"HCPCS code K0065","seo_title":"HCPCS code K0065: Spoke protector billing and coverage","meta_description":"K0065 covers spoke protectors, billed one unit each. Medicare pays 80% after the deductible when a signed DWO precedes delivery.","content_score":"60","is_cornerstone":"","related_keyphrases":[{"keyword":"K0065 Medicare coverage","score":61},{"keyword":"K0065 fee schedule","score":61},{"keyword":"wheelchair accessories hcpcs","score":67}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/176223","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/comments?post=176223"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/176223\/revisions"}],"predecessor-version":[{"id":176789,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/posts\/176223\/revisions\/176789"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media\/176222"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/media?parent=176223"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/categories?post=176223"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/fr\/wp-json\/wp\/v2\/tags?post=176223"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}