HCPCS Level II · Temporary codes for DME regional carriers
K0903For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About K0903
K0903 is an HCPCS Level II code in the K series (temporary codes for DME regional carriers), describing for diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each.
It was added to HCPCS effective 04/01/2018, and its current record took effect 01/01/2019.
It was terminated on 12/31/2018 and can't be billed for later dates of service.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Mult den insert dir carv/cam
- Date added
- 04/01/2018
- Action effective
- 01/01/2019
- Termination date
- 12/31/2018
- BETOS
- D1F
Related K09xx codes
Common questions about K0903
Is HCPCS K0903 still valid?
- No. K0903 was terminated on 12/31/2018.
Does Medicare cover K0903?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.