Functional Levels

Question 1

K0

Answer 1

Does not have ability or potential to ambulate or transfer safely with or without assistance

Prosthesis doesn’t enhance QoL or mobility

Question 2

Medicare coverage for K0

Answer 2

No prosthesis

Question 3

K1

Answer 3

Has ability or potential to use prosthesis for transfers or walking on level surface/fixed cadence

Limited or unlimited household

Question 4

K2

Answer 4

Has the ability or potential to traverse low level barriers (curbs, stairs, uneven surfaces)

Limited community
Unlimited household

Question 5

K3

Answer 5

Ability or potential for variable cadence, traverse most environmental barriers, vocational/therapeutic/exercise activity demands

Unlimited community

Question 6

K4

Answer 6

Ability or potential that exceeds basic ambulation, exhibiting high impact, stress, or energy levels

Child, active adult, athlete

Question 7

Lower limb prosthesis basic criteria for Medicare coverage

Answer 7

1. Pt will reach or maintain defined functional state within a reasonable period of time

And

2. Pt is motivated to ambulate (expresses desire)

Question 8

Medicare foot coverage for K1

Answer 8

SACH or single axis

Question 9

Medicare foot coverage for K2

Answer 9

Flexible keel or multiaxial

Question 10

Medicare foot coverage K3

Answer 10

Microprocessor, energy storing, dynamic response/multi axial, flex foot, flex walk, shank foot

Question 11

Medicare coverage knee K3

Answer 11

Fluid, pneumatic, or electronic/microprocessor

Question 12

Medicare coverage for axial rotation unit (ankle)

Answer 12

K2 and above

Question 13

Medicare coverage # of test sockets

Answer 13

2