Skip to content
Dx

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

Terminated 12/31/2018

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.