K0801 — Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds

HCPCS Level II K-code · short descriptor: “Pov group 1 hd 301-450 lbs” · 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 K0801 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.

K0801 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $1814.61 to $2441.80 depending on state and rural status.

State	Non-rural	Rural
AK	$2313.80	—
AL	$1902.00	$2313.80
AR	$1902.00	$2313.80
AZ	$1828.47	$2313.80
CA	$1814.61	$2313.80
CO	$1903.31	$2313.80
CT	$1932.26	$2313.80
DC	$1832.81	$2313.80
DE	$1832.81	$2313.80
FL	$1902.00	$2313.80
GA	$1902.00	$2313.80
HI	$2313.80	—
IA	$1903.51	$2313.80
ID	$1903.31	$2313.80
IL	$1854.02	$2313.80
IN	$1854.02	$2313.80
KS	$1903.51	$2313.80
KY	$1902.00	$2313.80
LA	$1902.00	$2313.80
MA	$1932.26	$2313.80
MD	$1832.81	$2313.80
ME	$1932.26	$2313.80
MI	$1854.02	$2313.80
MN	$1903.51	$2313.80
MO	$1903.51	$2313.80
MS	$1902.00	$2313.80
MT	$1903.31	$2313.80
NC	$1902.00	$2313.80
ND	$1903.51	$2313.80
NE	$1903.51	$2313.80
NH	$1932.26	$2313.80
NJ	$1832.81	$2313.80
NM	$1828.47	$2313.80
NV	$1814.61	$2313.80
NY	$1832.81	$2313.80
OH	$1854.02	$2313.80
OK	$1828.47	$2313.80
OR	$1814.61	$2313.80
PA	$1832.81	$2313.80
PR	$2441.80	—
RI	$1932.26	$2313.80
SC	$1902.00	$2313.80
SD	$1903.51	$2313.80
TN	$1902.00	$2313.80
TX	$1828.47	$2313.80
UT	$1903.31	$2313.80
VA	$1902.00	$2313.80
VI	$2313.80	—
VT	$1932.26	$2313.80
WA	$1814.61	$2313.80
WI	$1854.02	$2313.80
WV	$1902.00	$2313.80
WY	$1903.31	$2313.80

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $181.46 to $244.18 depending on state and rural status.

State	Non-rural	Rural
AK	$231.36	—
AL	$190.20	$231.36
AR	$190.20	$231.36
AZ	$182.84	$231.36
CA	$181.46	$231.36
CO	$190.33	$231.36
CT	$193.23	$231.36
DC	$183.28	$231.36
DE	$183.28	$231.36
FL	$190.20	$231.36
GA	$190.20	$231.36
HI	$231.36	—
IA	$190.35	$231.36
ID	$190.33	$231.36
IL	$185.40	$231.36
IN	$185.40	$231.36
KS	$190.35	$231.36
KY	$190.20	$231.36
LA	$190.20	$231.36
MA	$193.23	$231.36
MD	$183.28	$231.36
ME	$193.23	$231.36
MI	$185.40	$231.36
MN	$190.35	$231.36
MO	$190.35	$231.36
MS	$190.20	$231.36
MT	$190.33	$231.36
NC	$190.20	$231.36
ND	$190.35	$231.36
NE	$190.35	$231.36
NH	$193.23	$231.36
NJ	$183.28	$231.36
NM	$182.84	$231.36
NV	$181.46	$231.36
NY	$183.28	$231.36
OH	$185.40	$231.36
OK	$182.84	$231.36
OR	$181.46	$231.36
PA	$183.28	$231.36
PR	$244.18	—
RI	$193.23	$231.36
SC	$190.20	$231.36
SD	$190.35	$231.36
TN	$190.20	$231.36
TX	$182.84	$231.36
UT	$190.33	$231.36
VA	$190.20	$231.36
VI	$231.36	—
VT	$193.23	$231.36
WA	$181.46	$231.36
WI	$185.40	$231.36
WV	$190.20	$231.36
WY	$190.33	$231.36

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $1360.96 to $1831.34 depending on state and rural status.

State	Non-rural	Rural
AK	$1735.35	—
AL	$1426.50	$1735.35
AR	$1426.50	$1735.35
AZ	$1371.36	$1735.35
CA	$1360.96	$1735.35
CO	$1427.48	$1735.35
CT	$1449.19	$1735.35
DC	$1374.61	$1735.35
DE	$1374.61	$1735.35
FL	$1426.50	$1735.35
GA	$1426.50	$1735.35
HI	$1735.35	—
IA	$1427.63	$1735.35
ID	$1427.48	$1735.35
IL	$1390.51	$1735.35
IN	$1390.51	$1735.35
KS	$1427.63	$1735.35
KY	$1426.50	$1735.35
LA	$1426.50	$1735.35
MA	$1449.19	$1735.35
MD	$1374.61	$1735.35
ME	$1449.19	$1735.35
MI	$1390.51	$1735.35
MN	$1427.63	$1735.35
MO	$1427.63	$1735.35
MS	$1426.50	$1735.35
MT	$1427.48	$1735.35
NC	$1426.50	$1735.35
ND	$1427.63	$1735.35
NE	$1427.63	$1735.35
NH	$1449.19	$1735.35
NJ	$1374.61	$1735.35
NM	$1371.36	$1735.35
NV	$1360.96	$1735.35
NY	$1374.61	$1735.35
OH	$1390.51	$1735.35
OK	$1371.36	$1735.35
OR	$1360.96	$1735.35
PA	$1374.61	$1735.35
PR	$1831.34	—
RI	$1449.19	$1735.35
SC	$1426.50	$1735.35
SD	$1427.63	$1735.35
TN	$1426.50	$1735.35
TX	$1371.36	$1735.35
UT	$1427.48	$1735.35
VA	$1426.50	$1735.35
VI	$1735.35	—
VT	$1449.19	$1735.35
WA	$1360.96	$1735.35
WI	$1390.51	$1735.35
WV	$1426.50	$1735.35
WY	$1427.48	$1735.35

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

CO-50 medical necessity CO-197 no prior auth

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