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)
Status: Active (April 2026 HCPCS)

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.

K0802 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

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

State	Non-rural	Rural
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.

State	Non-rural	Rural
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.

State	Non-rural	Rural
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 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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