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)
- Status
- Active (April 2026 HCPCS)
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.
K0800 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1000.74 to $1438.64 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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 |
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