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.
| 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 |
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
Bill K0802 with confidence
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