K0011 — Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
HCPCS Level II K-code · short descriptor: “Stnd wt pwr whlchr w control”
- 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.
K0011 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $641.58 to $730.07 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $730.01 | — |
| AL | $730.02 | — |
| AR | $730.07 | — |
| AZ | $700.55 | — |
| CA | $719.12 | — |
| CO | $730.07 | — |
| CT | $730.07 | — |
| DC | $730.07 | — |
| DE | $730.01 | — |
| FL | $690.98 | — |
| GA | $730.02 | — |
| HI | $730.07 | — |
| IA | $730.07 | — |
| ID | $730.07 | — |
| IL | $730.07 | — |
| IN | $730.07 | — |
| KS | $730.07 | — |
| KY | $730.07 | — |
| LA | $730.01 | — |
| MA | $730.07 | — |
| MD | $712.05 | — |
| ME | $730.07 | — |
| MI | $721.89 | — |
| MN | $730.07 | — |
| MO | $730.07 | — |
| MS | $676.40 | — |
| MT | $680.62 | — |
| NC | $730.07 | — |
| ND | $679.68 | — |
| NE | $730.07 | — |
| NH | $730.07 | — |
| NJ | $708.33 | — |
| NM | $667.26 | — |
| NV | $717.53 | — |
| NY | $730.03 | — |
| OH | $730.07 | — |
| OK | $730.07 | — |
| OR | $730.07 | — |
| PA | $723.41 | — |
| PR | $730.07 | — |
| RI | $641.58 | — |
| SC | $726.90 | — |
| SD | $730.02 | — |
| TN | $707.64 | — |
| TX | $730.07 | — |
| UT | $730.07 | — |
| VA | $712.62 | — |
| VI | $730.07 | — |
| VT | $730.07 | — |
| WA | $730.07 | — |
| WI | $730.07 | — |
| WV | $729.30 | — |
| WY | $730.01 | — |
RR + KF — Monthly rental Capped rental
Medicare allowable ranges from $712.33 to $810.57 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $810.49 | — |
| AL | $810.50 | — |
| AR | $810.53 | — |
| AZ | $777.80 | — |
| CA | $798.42 | — |
| CO | $810.53 | — |
| CT | $810.53 | — |
| DC | $810.53 | — |
| DE | $810.49 | — |
| FL | $767.16 | — |
| GA | $810.50 | — |
| HI | $810.57 | — |
| IA | $810.53 | — |
| ID | $810.53 | — |
| IL | $810.53 | — |
| IN | $810.53 | — |
| KS | $810.53 | — |
| KY | $810.53 | — |
| LA | $810.49 | — |
| MA | $810.53 | — |
| MD | $790.53 | — |
| ME | $810.53 | — |
| MI | $801.53 | — |
| MN | $810.53 | — |
| MO | $810.53 | — |
| MS | $750.98 | — |
| MT | $755.66 | — |
| NC | $810.53 | — |
| ND | $754.64 | — |
| NE | $810.53 | — |
| NH | $810.53 | — |
| NJ | $786.41 | — |
| NM | $740.85 | — |
| NV | $796.65 | — |
| NY | $810.55 | — |
| OH | $810.53 | — |
| OK | $810.53 | — |
| OR | $810.53 | — |
| PA | $803.14 | — |
| PR | $810.53 | — |
| RI | $712.33 | — |
| SC | $807.05 | — |
| SD | $810.50 | — |
| TN | $785.63 | — |
| TX | $810.53 | — |
| UT | $810.53 | — |
| VA | $791.25 | — |
| VI | $810.53 | — |
| VT | $810.53 | — |
| WA | $810.53 | — |
| WI | $810.53 | — |
| WV | $809.72 | — |
| WY | $810.48 | — |
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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