medicare's classification system

medicare listed functional levels applicable to individuals with unilateral transtibial & transfemoral amputations that determine the ______ ______, and thus reimbursement purposes, of prosthetic knee and ankle-foot units

medical necessity

___→ not a candidate

K0

___ → household ambulation

K1

___ → limited community ambulation

K2

___ → community ambulation & the ability to vary cadence with vocational, therapeutic, or exercise need

K3

___ → high levels of activity such as demonstrated by active adults & athletes

K4

which medicare level?

does not have the ability or potential to ambulate or transfer safely with or without assistance, and a prosthesis does not enhance quality of life or mobility

K0

which medicare level?

has the ability or potential to use a prosthesis for transfer or ambulation in level surfaces at fixed cadence; typical of the limited and unlimited household ambulator

K1

which medicare level?

has the ability or potential for ambulation with the ability to transverse low-level environment barriers such as curbs, stairs, or uneven surfaces; typical of the limited community ambulator

K2

which medicare level?

has the ability or potential for ambulation with variable cadence; typical of the community ambulator who has the ability to transverse most environmental barriers and many have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion

K3

which medicare level?

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 the child, active adult or athlete

K4