MyMedi-AI

K0802 — Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds

HCPCS Level II K-code · short descriptor: “Pov group 1 vhd 451-600 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)
Face-to-face & WOPD
Required (Power Mobility Devices)
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

PA REQUIRED K0802 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 K0802 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.

K0802 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $2414.55 to $2971.04 depending on state and rural status.

StateNon-ruralRural
AK$2826.18—
AL$2516.45$2826.18
AR$2516.45$2826.18
AZ$2470.59$2826.18
CA$2414.55$2826.18
CO$2471.82$2826.18
CT$2592.58$2826.18
DC$2465.09$2826.18
DE$2465.09$2826.18
FL$2516.45$2826.18
GA$2516.45$2826.18
HI$2826.18—
IA$2507.98$2826.18
ID$2471.82$2826.18
IL$2546.17$2826.18
IN$2546.17$2826.18
KS$2507.98$2826.18
KY$2516.45$2826.18
LA$2516.45$2826.18
MA$2592.58$2826.18
MD$2465.09$2826.18
ME$2592.58$2826.18
MI$2546.17$2826.18
MN$2507.98$2826.18
MO$2507.98$2826.18
MS$2516.45$2826.18
MT$2471.82$2826.18
NC$2516.45$2826.18
ND$2507.98$2826.18
NE$2507.98$2826.18
NH$2592.58$2826.18
NJ$2465.09$2826.18
NM$2470.59$2826.18
NV$2414.55$2826.18
NY$2465.09$2826.18
OH$2546.17$2826.18
OK$2470.59$2826.18
OR$2414.55$2826.18
PA$2465.09$2826.18
PR$2971.04—
RI$2592.58$2826.18
SC$2516.45$2826.18
SD$2507.98$2826.18
TN$2516.45$2826.18
TX$2470.59$2826.18
UT$2471.82$2826.18
VA$2516.45$2826.18
VI$2826.18—
VT$2592.58$2826.18
WA$2414.55$2826.18
WI$2546.17$2826.18
WV$2516.45$2826.18
WY$2471.82$2826.18

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $241.46 to $297.10 depending on state and rural status.

StateNon-ruralRural
AK$282.61—
AL$251.64$282.61
AR$251.64$282.61
AZ$247.06$282.61
CA$241.46$282.61
CO$247.19$282.61
CT$259.26$282.61
DC$246.51$282.61
DE$246.51$282.61
FL$251.64$282.61
GA$251.64$282.61
HI$282.61—
IA$250.80$282.61
ID$247.19$282.61
IL$254.62$282.61
IN$254.62$282.61
KS$250.80$282.61
KY$251.64$282.61
LA$251.64$282.61
MA$259.26$282.61
MD$246.51$282.61
ME$259.26$282.61
MI$254.62$282.61
MN$250.80$282.61
MO$250.80$282.61
MS$251.64$282.61
MT$247.19$282.61
NC$251.64$282.61
ND$250.80$282.61
NE$250.80$282.61
NH$259.26$282.61
NJ$246.51$282.61
NM$247.06$282.61
NV$241.46$282.61
NY$246.51$282.61
OH$254.62$282.61
OK$247.06$282.61
OR$241.46$282.61
PA$246.51$282.61
PR$297.10—
RI$259.26$282.61
SC$251.64$282.61
SD$250.80$282.61
TN$251.64$282.61
TX$247.06$282.61
UT$247.19$282.61
VA$251.64$282.61
VI$282.61—
VT$259.26$282.61
WA$241.46$282.61
WI$254.62$282.61
WV$251.64$282.61
WY$247.19$282.61

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $1810.92 to $2228.27 depending on state and rural status.

StateNon-ruralRural
AK$2119.64—
AL$1887.33$2119.64
AR$1887.33$2119.64
AZ$1852.94$2119.64
CA$1810.92$2119.64
CO$1853.86$2119.64
CT$1944.43$2119.64
DC$1848.82$2119.64
DE$1848.82$2119.64
FL$1887.33$2119.64
GA$1887.33$2119.64
HI$2119.64—
IA$1880.99$2119.64
ID$1853.86$2119.64
IL$1909.63$2119.64
IN$1909.63$2119.64
KS$1880.99$2119.64
KY$1887.33$2119.64
LA$1887.33$2119.64
MA$1944.43$2119.64
MD$1848.82$2119.64
ME$1944.43$2119.64
MI$1909.63$2119.64
MN$1880.99$2119.64
MO$1880.99$2119.64
MS$1887.33$2119.64
MT$1853.86$2119.64
NC$1887.33$2119.64
ND$1880.99$2119.64
NE$1880.99$2119.64
NH$1944.43$2119.64
NJ$1848.82$2119.64
NM$1852.94$2119.64
NV$1810.92$2119.64
NY$1848.82$2119.64
OH$1909.63$2119.64
OK$1852.94$2119.64
OR$1810.92$2119.64
PA$1848.82$2119.64
PR$2228.27—
RI$1944.43$2119.64
SC$1887.33$2119.64
SD$1880.99$2119.64
TN$1887.33$2119.64
TX$1852.94$2119.64
UT$1853.86$2119.64
VA$1887.33$2119.64
VI$2119.64—
VT$1944.43$2119.64
WA$1810.92$2119.64
WI$1909.63$2119.64
WV$1887.33$2119.64
WY$1853.86$2119.64
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 K0802 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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