MyMedi-AI

K0800 — Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pov group 1 std up to 300lbs” · PA required

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
Required (Medicare, since 2022-04-13)
Face-to-face & WOPD
Required (Power Mobility Devices)
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

PA REQUIRED K0800 is on Medicare's DMEPOS Required Prior Authorization List (Power Mobility Devices — nationwide since 2022-04-13).

Claims for this item without an affirmed prior-authorization decision are automatically denied (commonly surfacing as CO-197). Submit the PA request to your DME MAC with the order and supporting clinical documentation 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))

F2F + WOPD REQUIRED K0800 is on Medicare's Required Face-to-Face & WOPD List (Power Mobility Devices — 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)). Two extra conditions of payment apply:

  • Face-to-face encounter (in-person or telehealth) with the treating practitioner within the 6 months before the order date
  • Written order communicated to the supplier before delivery (WOPD)

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

K0800 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $1000.74 to $1438.64 depending on state and rural status.

StateNon-ruralRural
AK$1359.25—
AL$1058.25$1359.25
AR$1058.25$1359.25
AZ$1018.31$1359.25
CA$1016.45$1359.25
CO$1017.21$1359.25
CT$1032.84$1359.25
DC$1000.74$1359.25
DE$1000.74$1359.25
FL$1058.25$1359.25
GA$1058.25$1359.25
HI$1359.25—
IA$1018.46$1359.25
ID$1017.21$1359.25
IL$1021.32$1359.25
IN$1021.32$1359.25
KS$1018.46$1359.25
KY$1058.25$1359.25
LA$1058.25$1359.25
MA$1032.84$1359.25
MD$1000.74$1359.25
ME$1032.84$1359.25
MI$1021.32$1359.25
MN$1018.46$1359.25
MO$1018.46$1359.25
MS$1058.25$1359.25
MT$1017.21$1359.25
NC$1058.25$1359.25
ND$1018.46$1359.25
NE$1018.46$1359.25
NH$1032.84$1359.25
NJ$1000.74$1359.25
NM$1018.31$1359.25
NV$1016.45$1359.25
NY$1000.74$1359.25
OH$1021.32$1359.25
OK$1018.31$1359.25
OR$1016.45$1359.25
PA$1000.74$1359.25
PR$1438.64—
RI$1032.84$1359.25
SC$1058.25$1359.25
SD$1018.46$1359.25
TN$1058.25$1359.25
TX$1018.31$1359.25
UT$1017.21$1359.25
VA$1058.25$1359.25
VI$1359.25—
VT$1032.84$1359.25
WA$1016.45$1359.25
WI$1021.32$1359.25
WV$1058.25$1359.25
WY$1017.21$1359.25

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $100.07 to $143.86 depending on state and rural status.

StateNon-ruralRural
AK$135.93—
AL$105.82$135.93
AR$105.82$135.93
AZ$101.83$135.93
CA$101.64$135.93
CO$101.72$135.93
CT$103.29$135.93
DC$100.07$135.93
DE$100.07$135.93
FL$105.82$135.93
GA$105.82$135.93
HI$135.93—
IA$101.84$135.93
ID$101.72$135.93
IL$102.13$135.93
IN$102.13$135.93
KS$101.84$135.93
KY$105.82$135.93
LA$105.82$135.93
MA$103.29$135.93
MD$100.07$135.93
ME$103.29$135.93
MI$102.13$135.93
MN$101.84$135.93
MO$101.84$135.93
MS$105.82$135.93
MT$101.72$135.93
NC$105.82$135.93
ND$101.84$135.93
NE$101.84$135.93
NH$103.29$135.93
NJ$100.07$135.93
NM$101.83$135.93
NV$101.64$135.93
NY$100.07$135.93
OH$102.13$135.93
OK$101.83$135.93
OR$101.64$135.93
PA$100.07$135.93
PR$143.86—
RI$103.29$135.93
SC$105.82$135.93
SD$101.84$135.93
TN$105.82$135.93
TX$101.83$135.93
UT$101.72$135.93
VA$105.82$135.93
VI$135.93—
VT$103.29$135.93
WA$101.64$135.93
WI$102.13$135.93
WV$105.82$135.93
WY$101.72$135.93

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $750.56 to $1078.97 depending on state and rural status.

StateNon-ruralRural
AK$1019.44—
AL$793.69$1019.44
AR$793.69$1019.44
AZ$763.73$1019.44
CA$762.34$1019.44
CO$762.91$1019.44
CT$774.63$1019.44
DC$750.56$1019.44
DE$750.56$1019.44
FL$793.69$1019.44
GA$793.69$1019.44
HI$1019.44—
IA$763.84$1019.44
ID$762.91$1019.44
IL$765.99$1019.44
IN$765.99$1019.44
KS$763.84$1019.44
KY$793.69$1019.44
LA$793.69$1019.44
MA$774.63$1019.44
MD$750.56$1019.44
ME$774.63$1019.44
MI$765.99$1019.44
MN$763.84$1019.44
MO$763.84$1019.44
MS$793.69$1019.44
MT$762.91$1019.44
NC$793.69$1019.44
ND$763.84$1019.44
NE$763.84$1019.44
NH$774.63$1019.44
NJ$750.56$1019.44
NM$763.73$1019.44
NV$762.34$1019.44
NY$750.56$1019.44
OH$765.99$1019.44
OK$763.73$1019.44
OR$762.34$1019.44
PA$750.56$1019.44
PR$1078.97—
RI$774.63$1019.44
SC$793.69$1019.44
SD$763.84$1019.44
TN$793.69$1019.44
TX$763.73$1019.44
UT$762.91$1019.44
VA$793.69$1019.44
VI$1019.44—
VT$774.63$1019.44
WA$762.34$1019.44
WI$765.99$1019.44
WV$793.69$1019.44
WY$762.91$1019.44
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 K0800 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related K-codes

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