"K-levels" and Medicare eligibility for lower limb prosthetics

K-level	Description	Foot/ankle components	Knee components
K0	Patient does not have the ability or potential to ambulate or transfer safely without assistance, and a prosthesis does not enhance their quality of life or mobility.	Not eligible	Not eligible
K1	Patient has ability or potential to use prosthesis for transfers or ambulation on level surfaces at fixed cadence - a typical limited or unlimited household ambulator.	External keel, SACH feet, or single-axis ankle/feet	Single-axis, constant-friction knee
K2	Patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers, such as curbs, stairs, or uneven surfaces - a typical community ambulator.	Flexible-keel feet and multi-axial ankle/feet	Single-axis, constant-friction knee
K3	Patient has the ability or potential for ambulation with variable cadence - a typical community ambulator with the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic use beyond simple locomotion.	Flex-foot and flex-walk systems, energy-storing feet, multi-axial ankle/feet or dynamic response feet	Fluid and pneumatic control knees
K4	Patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels - typical of the prosthetic demands of a child, active adult, or athlete.	Any ankle/foot system	Any knee system

K-levels are defined by Medicare based on an individual's ability or potential to ambulate and navigate their environment. Once it is determined in which K-level an individual resides, it can be determined which prosthetic components are covered by Medicare.

SACH: solid ankle cushion heel.

Information available through the Centers for Medicare & Medicaid Services.

Graphic 97254 Version 2.0

خرید پکیج

"K-levels" and Medicare eligibility for lower limb prosthetics