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K0007 — Extra 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.

K0007 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $96.40 to $211.59 depending on state and rural status.

StateNon-ruralRural
AK$208.53
AL$120.78$186.65
AR$120.78$187.58
AZ$104.16$178.08
CA$115.15$181.18
CO$111.57$187.58
CT$96.40$187.58
DC$101.06$187.58
DE$101.06$186.25
FL$120.78$178.42
GA$120.78$185.46
HI$208.53
IA$102.07$187.58
ID$111.57$187.58
IL$109.44$187.58
IN$109.44$187.58
KS$102.07$187.58
KY$120.78$187.58
LA$120.78$187.05
MA$96.40$187.58
MD$101.06$182.01
ME$96.40$187.58
MI$109.44$183.71
MN$102.07$187.58
MO$102.07$187.58
MS$120.78$175.93
MT$111.57$174.73
NC$120.78$187.58
ND$102.07$168.50
NE$102.07$187.58
NH$96.40$187.58
NJ$101.06$181.39
NM$104.16$174.34
NV$115.15$180.90
NY$101.06$185.43
OH$109.44$187.58
OK$104.16$187.58
OR$115.15$187.58
PA$101.06$183.97
PR$211.59
RI$96.40$168.50
SC$120.78$184.57
SD$102.07$184.73
TN$120.78$181.27
TX$104.16$187.58
UT$111.57$187.58
VA$120.78$182.11
VI$185.43
VT$96.40$187.58
WA$115.15$187.58
WI$109.44$187.58
WV$120.78$184.97
WY$111.57$184.33
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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