K0010 — Standard - weight frame motorized/power wheelchair
HCPCS Level II K-code · short descriptor: “Stnd wt frame power 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.
K0010 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $516.03 to $1144.42 depending on state and rural status.
Former-CBA payment limits: ceiling $607.09 · floor $516.03
| State | Non-rural | Rural |
|---|---|---|
| AK | $1144.42 | — |
| AL | $516.03 | — |
| AR | $516.03 | — |
| AZ | $607.09 | — |
| CA | $607.09 | — |
| CO | $607.09 | — |
| CT | $607.09 | — |
| DC | $607.09 | — |
| DE | $520.85 | — |
| FL | $516.03 | — |
| GA | $516.03 | — |
| HI | $608.49 | — |
| IA | $536.51 | — |
| ID | $607.09 | — |
| IL | $607.09 | — |
| IN | $607.09 | — |
| KS | $607.09 | — |
| KY | $516.03 | — |
| LA | $516.03 | — |
| MA | $607.09 | — |
| MD | $583.41 | — |
| ME | $607.09 | — |
| MI | $607.09 | — |
| MN | $516.03 | — |
| MO | $584.98 | — |
| MS | $516.03 | — |
| MT | $516.03 | — |
| NC | $516.03 | — |
| ND | $607.09 | — |
| NE | $607.09 | — |
| NH | $607.09 | — |
| NJ | $516.03 | — |
| NM | $607.09 | — |
| NV | $607.09 | — |
| NY | $516.03 | — |
| OH | $569.86 | — |
| OK | $607.09 | — |
| OR | $607.09 | — |
| PA | $516.46 | — |
| PR | $604.94 | — |
| RI | $516.03 | — |
| SC | $516.03 | — |
| SD | $607.09 | — |
| TN | $516.03 | — |
| TX | $516.03 | — |
| UT | $607.09 | — |
| VA | $540.93 | — |
| VI | $516.03 | — |
| VT | $607.09 | — |
| WA | $607.09 | — |
| WI | $607.09 | — |
| WV | $543.88 | — |
| WY | $607.09 | — |
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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