K0012 — Lightweight portable motorized/power wheelchair
HCPCS Level II K-code · short descriptor: “Ltwt portbl 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.
K0012 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $393.59 to $543.05 depending on state and rural status.
Former-CBA payment limits: ceiling $463.05 · floor $393.59
| State | Non-rural | Rural |
|---|---|---|
| AK | $531.52 | — |
| AL | $453.41 | — |
| AR | $463.05 | — |
| AZ | $429.74 | — |
| CA | $441.13 | — |
| CO | $463.05 | — |
| CT | $463.05 | — |
| DC | $463.05 | — |
| DE | $452.00 | — |
| FL | $423.87 | — |
| GA | $449.16 | — |
| HI | $470.60 | — |
| IA | $463.05 | — |
| ID | $463.05 | — |
| IL | $463.05 | — |
| IN | $463.05 | — |
| KS | $463.05 | — |
| KY | $463.05 | — |
| LA | $454.88 | — |
| MA | $463.05 | — |
| MD | $436.77 | — |
| ME | $463.05 | — |
| MI | $442.83 | — |
| MN | $463.05 | — |
| MO | $463.05 | — |
| MS | $414.96 | — |
| MT | $417.55 | — |
| NC | $463.05 | — |
| ND | $416.95 | — |
| NE | $463.05 | — |
| NH | $463.05 | — |
| NJ | $434.49 | — |
| NM | $409.32 | — |
| NV | $440.14 | — |
| NY | $448.97 | — |
| OH | $463.05 | — |
| OK | $463.05 | — |
| OR | $463.05 | — |
| PA | $443.78 | — |
| PR | $543.05 | — |
| RI | $393.59 | — |
| SC | $445.89 | — |
| SD | $454.12 | — |
| TN | $434.07 | — |
| TX | $463.05 | — |
| UT | $463.05 | — |
| VA | $437.17 | — |
| VI | $463.05 | — |
| VT | $463.05 | — |
| WA | $463.05 | — |
| WI | $463.05 | — |
| WV | $447.42 | — |
| WY | $452.70 | — |
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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