K0001 — Standard wheelchair
HCPCS Level II K-code
- Code system
- HCPCS Level II
- Family
- K — DME MAC temporary codes
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
K0001 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $25.23 to $53.64 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $53.63 | — |
| AL | $31.07 | $48.77 |
| AR | $31.07 | $53.64 |
| AZ | $28.52 | $53.22 |
| CA | $27.96 | $53.64 |
| CO | $27.78 | $53.64 |
| CT | $25.23 | $50.13 |
| DC | $26.42 | $53.64 |
| DE | $26.42 | $53.64 |
| FL | $31.07 | $48.77 |
| GA | $31.07 | $49.19 |
| HI | $53.63 | — |
| IA | $28.87 | $53.64 |
| ID | $27.78 | $50.18 |
| IL | $29.59 | $53.64 |
| IN | $29.59 | $53.64 |
| KS | $28.87 | $53.64 |
| KY | $31.07 | $51.21 |
| LA | $31.07 | $53.63 |
| MA | $25.23 | $53.64 |
| MD | $26.42 | $53.64 |
| ME | $25.23 | $53.64 |
| MI | $29.59 | $53.64 |
| MN | $28.87 | $51.66 |
| MO | $28.87 | $53.64 |
| MS | $31.07 | $48.77 |
| MT | $27.78 | $52.56 |
| NC | $31.07 | $48.77 |
| ND | $28.87 | $48.77 |
| NE | $28.87 | $53.64 |
| NH | $25.23 | $52.23 |
| NJ | $26.42 | $53.08 |
| NM | $28.52 | $49.92 |
| NV | $27.96 | $53.54 |
| NY | $26.42 | $52.43 |
| OH | $29.59 | $53.64 |
| OK | $28.52 | $53.64 |
| OR | $27.96 | $53.64 |
| PA | $26.42 | $53.64 |
| PR | $53.63 | — |
| RI | $25.23 | $53.64 |
| SC | $31.07 | $52.23 |
| SD | $28.87 | $53.64 |
| TN | $31.07 | $48.77 |
| TX | $28.52 | $53.64 |
| UT | $27.78 | $53.64 |
| VA | $31.07 | $53.64 |
| VI | $52.43 | — |
| VT | $25.23 | $48.77 |
| WA | $27.96 | $53.64 |
| WI | $29.59 | $53.51 |
| WV | $31.07 | $53.64 |
| WY | $27.78 | $48.77 |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related K-codes
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