MedicaidBilling CodesMedium impact
Repairs and Modifications for Miscellaneous Wheelchair Components Billed Under Procedure Code K0108
Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Neurology·Provider Bulletin
Effective date
Aug 10, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated billing requirements for wheelchair component code K0108, adding the KA modifier for modifications (set at $1000 fee) and reducing the RB modifier fee from $2000 to $1000 for repairs. Prior authorization is now required for any miscellaneous wheelchair components costing over $1000.
Action Required
Billing team must update billing system to: 1) Use KA modifier with K0108 for wheelchair modifications (new components added to existing wheelchair), 2) Use RB modifier with K0108 for wheelchair repairs (component replacement), 3) Set prior authorization requirements for any K0108 claims over $1000, 4) Update fee schedules to reflect $1000 maximum for both K0108-KA and K0108-RB combinations. Do not use RB or KA modifiers for new customized wheelchair requests.