MyMedi-AI

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
2
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.

K0098 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $27.08 to $35.58 depending on state and rural status.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps K0098 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: CMS Workgroup.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related K-codes

K0001K0002K0003K0004K0005K0006K0007K0008K0009K0010K0011K0012

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