K0006 — Heavy duty 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.
K0006 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $68.77 to $169.03 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $133.53 | — |
| AL | $85.68 | $120.77 |
| AR | $85.68 | $118.97 |
| AZ | $76.77 | $132.37 |
| CA | $82.67 | $118.97 |
| CO | $84.80 | $132.37 |
| CT | $68.77 | $132.37 |
| DC | $72.84 | $132.37 |
| DE | $72.84 | $118.97 |
| FL | $85.68 | $118.97 |
| GA | $85.68 | $132.37 |
| HI | $161.58 | — |
| IA | $72.39 | $132.37 |
| ID | $84.80 | $125.73 |
| IL | $76.92 | $118.97 |
| IN | $76.92 | $118.97 |
| KS | $72.39 | $132.37 |
| KY | $85.68 | $122.86 |
| LA | $85.68 | $118.97 |
| MA | $68.77 | $132.37 |
| MD | $72.84 | $118.97 |
| ME | $68.77 | $132.37 |
| MI | $76.92 | $130.71 |
| MN | $72.39 | $118.97 |
| MO | $72.39 | $132.37 |
| MS | $85.68 | $118.97 |
| MT | $84.80 | $132.37 |
| NC | $85.68 | $126.59 |
| ND | $72.39 | $132.37 |
| NE | $72.39 | $128.54 |
| NH | $68.77 | $132.37 |
| NJ | $72.84 | $130.21 |
| NM | $76.77 | $132.37 |
| NV | $82.67 | $132.37 |
| NY | $72.84 | $132.37 |
| OH | $76.92 | $122.46 |
| OK | $76.77 | $132.37 |
| OR | $82.67 | $132.37 |
| PA | $72.84 | $132.37 |
| PR | $169.03 | — |
| RI | $68.77 | $118.97 |
| SC | $85.68 | $118.97 |
| SD | $72.39 | $132.37 |
| TN | $85.68 | $132.37 |
| TX | $76.77 | $132.37 |
| UT | $84.80 | $118.97 |
| VA | $85.68 | $118.97 |
| VI | $132.37 | — |
| VT | $68.77 | $132.37 |
| WA | $82.67 | $132.37 |
| WI | $76.92 | $132.06 |
| WV | $85.68 | $118.97 |
| WY | $84.80 | $132.37 |
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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