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.
| State | Non-rural | Rural |
|---|---|---|
| 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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