K0003 — Lightweight 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.
K0003 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $36.91 to $115.29 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $115.29 | — |
| AL | $46.99 | $87.36 |
| AR | $46.99 | $87.36 |
| AZ | $44.42 | $79.43 |
| CA | $41.97 | $79.56 |
| CO | $41.47 | $87.36 |
| CT | $37.55 | $87.36 |
| DC | $36.91 | $86.67 |
| DE | $36.91 | $77.78 |
| FL | $46.99 | $77.78 |
| GA | $46.99 | $86.55 |
| HI | $84.62 | — |
| IA | $44.90 | $87.36 |
| ID | $41.47 | $77.78 |
| IL | $43.47 | $87.36 |
| IN | $43.47 | $85.87 |
| KS | $44.90 | $87.36 |
| KY | $46.99 | $77.78 |
| LA | $46.99 | $87.36 |
| MA | $37.55 | $87.36 |
| MD | $36.91 | $80.99 |
| ME | $37.55 | $87.36 |
| MI | $43.47 | $78.78 |
| MN | $44.90 | $86.17 |
| MO | $44.90 | $86.65 |
| MS | $46.99 | $77.78 |
| MT | $41.47 | $87.36 |
| NC | $46.99 | $77.78 |
| ND | $44.90 | $82.14 |
| NE | $44.90 | $87.36 |
| NH | $37.55 | $86.77 |
| NJ | $36.91 | $87.36 |
| NM | $44.42 | $87.36 |
| NV | $41.97 | $80.36 |
| NY | $36.91 | $80.69 |
| OH | $43.47 | $87.36 |
| OK | $44.42 | $85.55 |
| OR | $41.97 | $85.19 |
| PA | $36.91 | $87.36 |
| PR | $88.22 | — |
| RI | $37.55 | $77.78 |
| SC | $46.99 | $87.36 |
| SD | $44.90 | $87.36 |
| TN | $46.99 | $87.36 |
| TX | $44.42 | $87.36 |
| UT | $41.47 | $87.36 |
| VA | $46.99 | $87.36 |
| VI | $80.69 | — |
| VT | $37.55 | $87.36 |
| WA | $41.97 | $87.36 |
| WI | $43.47 | $79.04 |
| WV | $46.99 | $87.36 |
| WY | $41.47 | $87.17 |
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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