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K0002 — Standard hemi (low seat) wheelchair

HCPCS Level II K-code · short descriptor: “Stnd hemi (low seat) whlchr”

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.

K0002 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $38.93 to $101.05 depending on state and rural status.

StateNon-ruralRural
AK$101.05
AL$54.13$85.38
AR$54.13$85.38
AZ$46.32$85.38
CA$54.14$78.84
CO$53.56$85.38
CT$38.93$82.37
DC$45.70$85.38
DE$45.70$85.38
FL$54.13$76.63
GA$54.13$76.63
HI$90.13
IA$46.80$85.38
ID$53.56$76.63
IL$49.99$85.38
IN$49.99$85.38
KS$46.80$85.38
KY$54.13$85.38
LA$54.13$85.38
MA$38.93$80.93
MD$45.70$85.38
ME$38.93$82.52
MI$49.99$82.52
MN$46.80$77.70
MO$46.80$85.38
MS$54.13$76.63
MT$53.56$76.88
NC$54.13$79.07
ND$46.80$82.35
NE$46.80$82.60
NH$38.93$77.94
NJ$45.70$85.38
NM$46.32$85.38
NV$54.14$85.38
NY$45.70$85.07
OH$49.99$85.38
OK$46.32$82.36
OR$54.14$84.76
PA$45.70$85.38
PR$89.64
RI$38.93$76.63
SC$54.13$85.38
SD$46.80$85.38
TN$54.13$76.63
TX$46.32$85.38
UT$53.56$85.38
VA$54.13$85.38
VI$85.07
VT$38.93$80.23
WA$54.14$76.63
WI$49.99$76.63
WV$54.13$76.83
WY$53.56$85.38
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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