K0098 — Drive belt for power wheelchair, replacement only
HCPCS Level II K-code · short descriptor: “Drive belt for pwc, repl”
- 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
- Inexpensive or routinely purchased
- 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.
K0098 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $27.08 to $35.58 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $31.88 | — |
| AL | $29.01 | $32.83 |
| AR | $29.01 | $32.83 |
| AZ | $29.07 | $31.88 |
| CA | $27.08 | $31.88 |
| CO | $28.66 | $32.83 |
| CT | $30.47 | $32.83 |
| DC | $28.49 | $32.35 |
| DE | $28.49 | $32.83 |
| FL | $29.01 | $32.35 |
| GA | $29.01 | $32.83 |
| HI | $31.88 | — |
| IA | $30.37 | $31.88 |
| ID | $28.66 | $31.88 |
| IL | $30.81 | $32.35 |
| IN | $30.81 | $32.83 |
| KS | $30.37 | $31.88 |
| KY | $29.01 | $32.83 |
| LA | $29.01 | $32.83 |
| MA | $30.47 | $32.83 |
| MD | $28.49 | $32.35 |
| ME | $30.47 | $32.83 |
| MI | $30.81 | $32.70 |
| MN | $30.37 | $32.83 |
| MO | $30.37 | $32.72 |
| MS | $29.01 | $32.83 |
| MT | $28.66 | $31.88 |
| NC | $29.01 | $32.83 |
| ND | $30.37 | $31.88 |
| NE | $30.37 | $31.88 |
| NH | $30.47 | $32.35 |
| NJ | $28.49 | $32.83 |
| NM | $29.07 | $32.83 |
| NV | $27.08 | $31.88 |
| NY | $28.49 | $32.83 |
| OH | $30.81 | $32.35 |
| OK | $29.07 | $32.83 |
| OR | $27.08 | $31.88 |
| PA | $28.49 | $32.83 |
| PR | $35.58 | — |
| RI | $30.47 | $32.35 |
| SC | $29.01 | $32.83 |
| SD | $30.37 | $31.88 |
| TN | $29.01 | $32.83 |
| TX | $29.07 | $32.35 |
| UT | $28.66 | $32.83 |
| VA | $29.01 | $32.35 |
| VI | $32.83 | — |
| VT | $30.47 | $32.83 |
| WA | $27.08 | $32.83 |
| WI | $30.81 | $32.83 |
| WV | $29.01 | $32.35 |
| WY | $28.66 | $31.88 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $34.37 to $38.40 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $34.37 | — |
| AL | — | $35.26 |
| AR | — | $35.26 |
| AZ | — | $34.37 |
| CA | — | $34.37 |
| CO | — | $35.26 |
| CT | — | $35.26 |
| DC | — | $34.70 |
| DE | — | $35.26 |
| FL | — | $34.70 |
| GA | — | $35.26 |
| HI | $34.37 | — |
| IA | — | $34.37 |
| ID | — | $34.37 |
| IL | — | $34.70 |
| IN | — | $35.26 |
| KS | — | $34.37 |
| KY | — | $35.26 |
| LA | — | $35.26 |
| MA | — | $35.26 |
| MD | — | $34.70 |
| ME | — | $35.26 |
| MI | — | $35.11 |
| MN | — | $35.26 |
| MO | — | $35.13 |
| MS | — | $35.26 |
| MT | — | $34.37 |
| NC | — | $35.26 |
| ND | — | $34.37 |
| NE | — | $34.37 |
| NH | — | $34.70 |
| NJ | — | $35.26 |
| NM | — | $35.26 |
| NV | — | $34.37 |
| NY | — | $35.26 |
| OH | — | $34.70 |
| OK | — | $35.26 |
| OR | — | $34.37 |
| PA | — | $35.26 |
| PR | $38.40 | — |
| RI | — | $34.70 |
| SC | — | $35.26 |
| SD | — | $34.37 |
| TN | — | $35.26 |
| TX | — | $34.70 |
| UT | — | $35.26 |
| VA | — | $34.70 |
| VI | $35.26 | — |
| VT | — | $35.26 |
| WA | — | $35.26 |
| WI | — | $35.26 |
| WV | — | $34.70 |
| WY | — | $34.37 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $31.86 to $38.90 depending on state and rural status.
Former-CBA payment limits: ceiling $33.43 · floor $28.42
| State | Non-rural | Rural |
|---|---|---|
| AK | $31.86 | — |
| AL | $33.43 | — |
| AR | $33.43 | — |
| AZ | $31.86 | — |
| CA | $31.86 | — |
| CO | $33.43 | — |
| CT | $33.43 | — |
| DC | $32.46 | — |
| DE | $33.43 | — |
| FL | $32.46 | — |
| GA | $33.43 | — |
| HI | $31.86 | — |
| IA | $31.86 | — |
| ID | $31.86 | — |
| IL | $32.46 | — |
| IN | $33.43 | — |
| KS | $31.86 | — |
| KY | $33.43 | — |
| LA | $33.43 | — |
| MA | $33.43 | — |
| MD | $32.46 | — |
| ME | $33.43 | — |
| MI | $33.16 | — |
| MN | $33.43 | — |
| MO | $33.20 | — |
| MS | $33.43 | — |
| MT | $31.86 | — |
| NC | $33.43 | — |
| ND | $31.86 | — |
| NE | $31.86 | — |
| NH | $32.46 | — |
| NJ | $33.43 | — |
| NM | $33.43 | — |
| NV | $31.86 | — |
| NY | $33.43 | — |
| OH | $32.46 | — |
| OK | $33.43 | — |
| OR | $31.86 | — |
| PA | $33.43 | — |
| PR | $38.90 | — |
| RI | $32.46 | — |
| SC | $33.43 | — |
| SD | $31.86 | — |
| TN | $33.43 | — |
| TX | $32.46 | — |
| UT | $33.43 | — |
| VA | $32.46 | — |
| VI | $33.43 | — |
| VT | $33.43 | — |
| WA | $33.43 | — |
| WI | $33.43 | — |
| WV | $32.46 | — |
| WY | $31.86 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.71 to $3.56 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.21 | — |
| AL | $2.90 | $3.29 |
| AR | $2.90 | $3.29 |
| AZ | $2.91 | $3.21 |
| CA | $2.71 | $3.21 |
| CO | $2.87 | $3.29 |
| CT | $3.05 | $3.29 |
| DC | $2.85 | $3.24 |
| DE | $2.85 | $3.29 |
| FL | $2.90 | $3.24 |
| GA | $2.90 | $3.29 |
| HI | $3.21 | — |
| IA | $3.04 | $3.21 |
| ID | $2.87 | $3.21 |
| IL | $3.08 | $3.24 |
| IN | $3.08 | $3.29 |
| KS | $3.04 | $3.21 |
| KY | $2.90 | $3.29 |
| LA | $2.90 | $3.29 |
| MA | $3.05 | $3.29 |
| MD | $2.85 | $3.24 |
| ME | $3.05 | $3.29 |
| MI | $3.08 | $3.28 |
| MN | $3.04 | $3.29 |
| MO | $3.04 | $3.28 |
| MS | $2.90 | $3.29 |
| MT | $2.87 | $3.21 |
| NC | $2.90 | $3.29 |
| ND | $3.04 | $3.21 |
| NE | $3.04 | $3.21 |
| NH | $3.05 | $3.24 |
| NJ | $2.85 | $3.29 |
| NM | $2.91 | $3.29 |
| NV | $2.71 | $3.21 |
| NY | $2.85 | $3.29 |
| OH | $3.08 | $3.24 |
| OK | $2.91 | $3.29 |
| OR | $2.71 | $3.21 |
| PA | $2.85 | $3.29 |
| PR | $3.56 | — |
| RI | $3.05 | $3.24 |
| SC | $2.90 | $3.29 |
| SD | $3.04 | $3.21 |
| TN | $2.90 | $3.29 |
| TX | $2.91 | $3.24 |
| UT | $2.87 | $3.29 |
| VA | $2.90 | $3.24 |
| VI | $3.29 | — |
| VT | $3.05 | $3.29 |
| WA | $2.71 | $3.29 |
| WI | $3.08 | $3.29 |
| WV | $2.90 | $3.24 |
| WY | $2.87 | $3.21 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.45 to $3.84 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.45 | — |
| AL | — | $3.53 |
| AR | — | $3.53 |
| AZ | — | $3.45 |
| CA | — | $3.45 |
| CO | — | $3.53 |
| CT | — | $3.53 |
| DC | — | $3.48 |
| DE | — | $3.53 |
| FL | — | $3.48 |
| GA | — | $3.53 |
| HI | $3.45 | — |
| IA | — | $3.45 |
| ID | — | $3.45 |
| IL | — | $3.48 |
| IN | — | $3.53 |
| KS | — | $3.45 |
| KY | — | $3.53 |
| LA | — | $3.53 |
| MA | — | $3.53 |
| MD | — | $3.48 |
| ME | — | $3.53 |
| MI | — | $3.52 |
| MN | — | $3.53 |
| MO | — | $3.52 |
| MS | — | $3.53 |
| MT | — | $3.45 |
| NC | — | $3.53 |
| ND | — | $3.45 |
| NE | — | $3.45 |
| NH | — | $3.48 |
| NJ | — | $3.53 |
| NM | — | $3.53 |
| NV | — | $3.45 |
| NY | — | $3.53 |
| OH | — | $3.48 |
| OK | — | $3.53 |
| OR | — | $3.45 |
| PA | — | $3.53 |
| PR | $3.84 | — |
| RI | — | $3.48 |
| SC | — | $3.53 |
| SD | — | $3.45 |
| TN | — | $3.53 |
| TX | — | $3.48 |
| UT | — | $3.53 |
| VA | — | $3.48 |
| VI | $3.53 | — |
| VT | — | $3.53 |
| WA | — | $3.53 |
| WI | — | $3.53 |
| WV | — | $3.48 |
| WY | — | $3.45 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.21 to $3.89 depending on state and rural status.
Former-CBA payment limits: ceiling $3.36 · floor $2.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.21 | — |
| AL | $3.36 | — |
| AR | $3.36 | — |
| AZ | $3.21 | — |
| CA | $3.21 | — |
| CO | $3.36 | — |
| CT | $3.36 | — |
| DC | $3.27 | — |
| DE | $3.36 | — |
| FL | $3.27 | — |
| GA | $3.36 | — |
| HI | $3.21 | — |
| IA | $3.21 | — |
| ID | $3.21 | — |
| IL | $3.27 | — |
| IN | $3.36 | — |
| KS | $3.21 | — |
| KY | $3.36 | — |
| LA | $3.36 | — |
| MA | $3.36 | — |
| MD | $3.27 | — |
| ME | $3.36 | — |
| MI | $3.35 | — |
| MN | $3.36 | — |
| MO | $3.35 | — |
| MS | $3.36 | — |
| MT | $3.21 | — |
| NC | $3.36 | — |
| ND | $3.21 | — |
| NE | $3.21 | — |
| NH | $3.27 | — |
| NJ | $3.36 | — |
| NM | $3.36 | — |
| NV | $3.21 | — |
| NY | $3.36 | — |
| OH | $3.27 | — |
| OK | $3.36 | — |
| OR | $3.21 | — |
| PA | $3.36 | — |
| PR | $3.89 | — |
| RI | $3.27 | — |
| SC | $3.36 | — |
| SD | $3.21 | — |
| TN | $3.36 | — |
| TX | $3.27 | — |
| UT | $3.36 | — |
| VA | $3.27 | — |
| VI | $3.36 | — |
| VT | $3.36 | — |
| WA | $3.36 | — |
| WI | $3.36 | — |
| WV | $3.27 | — |
| WY | $3.21 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $20.31 to $26.70 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.92 | — |
| AL | $21.76 | $24.61 |
| AR | $21.76 | $24.61 |
| AZ | $21.81 | $23.92 |
| CA | $20.31 | $23.92 |
| CO | $21.50 | $24.61 |
| CT | $22.85 | $24.61 |
| DC | $21.37 | $24.26 |
| DE | $21.37 | $24.61 |
| FL | $21.76 | $24.26 |
| GA | $21.76 | $24.61 |
| HI | $23.92 | — |
| IA | $22.78 | $23.92 |
| ID | $21.50 | $23.96 |
| IL | $23.11 | $24.26 |
| IN | $23.11 | $24.61 |
| KS | $22.78 | $23.92 |
| KY | $21.76 | $24.61 |
| LA | $21.76 | $24.61 |
| MA | $22.85 | $24.61 |
| MD | $21.37 | $24.26 |
| ME | $22.85 | $24.61 |
| MI | $23.11 | $24.55 |
| MN | $22.78 | $24.61 |
| MO | $22.78 | $24.57 |
| MS | $21.76 | $24.61 |
| MT | $21.50 | $23.92 |
| NC | $21.76 | $24.61 |
| ND | $22.78 | $23.92 |
| NE | $22.78 | $23.92 |
| NH | $22.85 | $24.26 |
| NJ | $21.37 | $24.61 |
| NM | $21.81 | $24.61 |
| NV | $20.31 | $23.92 |
| NY | $21.37 | $24.61 |
| OH | $23.11 | $24.26 |
| OK | $21.81 | $24.61 |
| OR | $20.31 | $23.92 |
| PA | $21.37 | $24.61 |
| PR | $26.70 | — |
| RI | $22.85 | $24.26 |
| SC | $21.76 | $24.61 |
| SD | $22.78 | $23.92 |
| TN | $21.76 | $24.61 |
| TX | $21.81 | $24.26 |
| UT | $21.50 | $24.61 |
| VA | $21.76 | $24.26 |
| VI | $24.61 | — |
| VT | $22.85 | $24.61 |
| WA | $20.31 | $24.61 |
| WI | $23.11 | $24.61 |
| WV | $21.76 | $24.26 |
| WY | $21.50 | $23.92 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $25.79 to $28.82 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.79 | — |
| AL | — | $26.43 |
| AR | — | $26.43 |
| AZ | — | $25.79 |
| CA | — | $25.79 |
| CO | — | $26.43 |
| CT | — | $26.43 |
| DC | — | $26.02 |
| DE | — | $26.43 |
| FL | — | $26.02 |
| GA | — | $26.43 |
| HI | $25.79 | — |
| IA | — | $25.79 |
| ID | — | $25.81 |
| IL | — | $26.02 |
| IN | — | $26.43 |
| KS | — | $25.79 |
| KY | — | $26.43 |
| LA | — | $26.43 |
| MA | — | $26.43 |
| MD | — | $26.02 |
| ME | — | $26.43 |
| MI | — | $26.35 |
| MN | — | $26.43 |
| MO | — | $26.38 |
| MS | — | $26.43 |
| MT | — | $25.79 |
| NC | — | $26.43 |
| ND | — | $25.79 |
| NE | — | $25.79 |
| NH | — | $26.02 |
| NJ | — | $26.43 |
| NM | — | $26.43 |
| NV | — | $25.79 |
| NY | — | $26.43 |
| OH | — | $26.02 |
| OK | — | $26.43 |
| OR | — | $25.79 |
| PA | — | $26.43 |
| PR | $28.82 | — |
| RI | — | $26.02 |
| SC | — | $26.43 |
| SD | — | $25.79 |
| TN | — | $26.43 |
| TX | — | $26.02 |
| UT | — | $26.43 |
| VA | — | $26.02 |
| VI | $26.43 | — |
| VT | — | $26.43 |
| WA | — | $26.43 |
| WI | — | $26.43 |
| WV | — | $26.02 |
| WY | — | $25.79 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $23.93 to $29.21 depending on state and rural status.
Former-CBA payment limits: ceiling $25.04 · floor $21.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.93 | — |
| AL | $25.04 | — |
| AR | $25.04 | — |
| AZ | $23.93 | — |
| CA | $23.93 | — |
| CO | $25.04 | — |
| CT | $25.04 | — |
| DC | $24.33 | — |
| DE | $25.04 | — |
| FL | $24.33 | — |
| GA | $25.04 | — |
| HI | $23.93 | — |
| IA | $23.93 | — |
| ID | $23.97 | — |
| IL | $24.33 | — |
| IN | $25.04 | — |
| KS | $23.93 | — |
| KY | $25.04 | — |
| LA | $25.04 | — |
| MA | $25.04 | — |
| MD | $24.33 | — |
| ME | $25.04 | — |
| MI | $24.90 | — |
| MN | $25.04 | — |
| MO | $24.94 | — |
| MS | $25.04 | — |
| MT | $23.93 | — |
| NC | $25.04 | — |
| ND | $23.93 | — |
| NE | $23.93 | — |
| NH | $24.33 | — |
| NJ | $25.04 | — |
| NM | $25.04 | — |
| NV | $23.93 | — |
| NY | $25.04 | — |
| OH | $24.33 | — |
| OK | $25.04 | — |
| OR | $23.93 | — |
| PA | $25.04 | — |
| PR | $29.21 | — |
| RI | $24.33 | — |
| SC | $25.04 | — |
| SD | $23.93 | — |
| TN | $25.04 | — |
| TX | $24.33 | — |
| UT | $25.04 | — |
| VA | $24.33 | — |
| VI | $25.04 | — |
| VT | $25.04 | — |
| WA | $25.04 | — |
| WI | $25.04 | — |
| WV | $24.33 | — |
| WY | $23.93 | — |
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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