MyMedi-AI

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
Face-to-face & WOPD
Not on the required list
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

K0010 Medicare fee schedule (October 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

StateNon-ruralRural
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 October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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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