K0807 — Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds
HCPCS Level II K-code · short descriptor: “Pov group 2 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 K0807 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.
K0807 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $2710.26 to $2958.32 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $2812.57 | — |
| AL | $2710.26 | $2812.57 |
| AR | $2710.26 | $2812.57 |
| AZ | $2710.26 | $2812.57 |
| CA | $2710.26 | $2812.57 |
| CO | $2710.26 | $2812.57 |
| CT | $2710.26 | $2812.57 |
| DC | $2710.26 | $2812.57 |
| DE | $2710.26 | $2812.57 |
| FL | $2710.26 | $2812.57 |
| GA | $2710.26 | $2812.57 |
| HI | $2812.57 | — |
| IA | $2710.26 | $2812.57 |
| ID | $2710.26 | $2812.57 |
| IL | $2710.26 | $2812.57 |
| IN | $2710.26 | $2812.57 |
| KS | $2710.26 | $2812.57 |
| KY | $2710.26 | $2812.57 |
| LA | $2710.26 | $2812.57 |
| MA | $2710.26 | $2812.57 |
| MD | $2710.26 | $2812.57 |
| ME | $2710.26 | $2812.57 |
| MI | $2710.26 | $2812.57 |
| MN | $2710.26 | $2812.57 |
| MO | $2710.26 | $2812.57 |
| MS | $2710.26 | $2812.57 |
| MT | $2710.26 | $2812.57 |
| NC | $2710.26 | $2812.57 |
| ND | $2710.26 | $2812.57 |
| NE | $2710.26 | $2812.57 |
| NH | $2710.26 | $2812.57 |
| NJ | $2710.26 | $2812.57 |
| NM | $2710.26 | $2812.57 |
| NV | $2710.26 | $2812.57 |
| NY | $2710.26 | $2812.57 |
| OH | $2710.26 | $2812.57 |
| OK | $2710.26 | $2812.57 |
| OR | $2710.26 | $2812.57 |
| PA | $2710.26 | $2812.57 |
| PR | $2958.32 | — |
| RI | $2710.26 | $2812.57 |
| SC | $2710.26 | $2812.57 |
| SD | $2710.26 | $2812.57 |
| TN | $2710.26 | $2812.57 |
| TX | $2710.26 | $2812.57 |
| UT | $2710.26 | $2812.57 |
| VA | $2710.26 | $2812.57 |
| VI | $2812.57 | — |
| VT | $2710.26 | $2812.57 |
| WA | $2710.26 | $2812.57 |
| WI | $2710.26 | $2812.57 |
| WV | $2710.26 | $2812.57 |
| WY | $2710.26 | $2812.57 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $271.02 to $295.82 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $281.26 | — |
| AL | $271.02 | $281.26 |
| AR | $271.02 | $281.26 |
| AZ | $271.02 | $281.26 |
| CA | $271.02 | $281.26 |
| CO | $271.02 | $281.26 |
| CT | $271.02 | $281.26 |
| DC | $271.02 | $281.26 |
| DE | $271.02 | $281.26 |
| FL | $271.02 | $281.26 |
| GA | $271.02 | $281.26 |
| HI | $281.26 | — |
| IA | $271.02 | $281.26 |
| ID | $271.02 | $281.26 |
| IL | $271.02 | $281.26 |
| IN | $271.02 | $281.26 |
| KS | $271.02 | $281.26 |
| KY | $271.02 | $281.26 |
| LA | $271.02 | $281.26 |
| MA | $271.02 | $281.26 |
| MD | $271.02 | $281.26 |
| ME | $271.02 | $281.26 |
| MI | $271.02 | $281.26 |
| MN | $271.02 | $281.26 |
| MO | $271.02 | $281.26 |
| MS | $271.02 | $281.26 |
| MT | $271.02 | $281.26 |
| NC | $271.02 | $281.26 |
| ND | $271.02 | $281.26 |
| NE | $271.02 | $281.26 |
| NH | $271.02 | $281.26 |
| NJ | $271.02 | $281.26 |
| NM | $271.02 | $281.26 |
| NV | $271.02 | $281.26 |
| NY | $271.02 | $281.26 |
| OH | $271.02 | $281.26 |
| OK | $271.02 | $281.26 |
| OR | $271.02 | $281.26 |
| PA | $271.02 | $281.26 |
| PR | $295.82 | — |
| RI | $271.02 | $281.26 |
| SC | $271.02 | $281.26 |
| SD | $271.02 | $281.26 |
| TN | $271.02 | $281.26 |
| TX | $271.02 | $281.26 |
| UT | $271.02 | $281.26 |
| VA | $271.02 | $281.26 |
| VI | $281.26 | — |
| VT | $271.02 | $281.26 |
| WA | $271.02 | $281.26 |
| WI | $271.02 | $281.26 |
| WV | $271.02 | $281.26 |
| WY | $271.02 | $281.26 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $2032.70 to $2218.74 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $2109.43 | — |
| AL | $2032.70 | $2109.43 |
| AR | $2032.70 | $2109.43 |
| AZ | $2032.70 | $2109.43 |
| CA | $2032.70 | $2109.43 |
| CO | $2032.70 | $2109.43 |
| CT | $2032.70 | $2109.43 |
| DC | $2032.70 | $2109.43 |
| DE | $2032.70 | $2109.43 |
| FL | $2032.70 | $2109.43 |
| GA | $2032.70 | $2109.43 |
| HI | $2109.43 | — |
| IA | $2032.70 | $2109.43 |
| ID | $2032.70 | $2109.43 |
| IL | $2032.70 | $2109.43 |
| IN | $2032.70 | $2109.43 |
| KS | $2032.70 | $2109.43 |
| KY | $2032.70 | $2109.43 |
| LA | $2032.70 | $2109.43 |
| MA | $2032.70 | $2109.43 |
| MD | $2032.70 | $2109.43 |
| ME | $2032.70 | $2109.43 |
| MI | $2032.70 | $2109.43 |
| MN | $2032.70 | $2109.43 |
| MO | $2032.70 | $2109.43 |
| MS | $2032.70 | $2109.43 |
| MT | $2032.70 | $2109.43 |
| NC | $2032.70 | $2109.43 |
| ND | $2032.70 | $2109.43 |
| NE | $2032.70 | $2109.43 |
| NH | $2032.70 | $2109.43 |
| NJ | $2032.70 | $2109.43 |
| NM | $2032.70 | $2109.43 |
| NV | $2032.70 | $2109.43 |
| NY | $2032.70 | $2109.43 |
| OH | $2032.70 | $2109.43 |
| OK | $2032.70 | $2109.43 |
| OR | $2032.70 | $2109.43 |
| PA | $2032.70 | $2109.43 |
| PR | $2218.74 | — |
| RI | $2032.70 | $2109.43 |
| SC | $2032.70 | $2109.43 |
| SD | $2032.70 | $2109.43 |
| TN | $2032.70 | $2109.43 |
| TX | $2032.70 | $2109.43 |
| UT | $2032.70 | $2109.43 |
| VA | $2032.70 | $2109.43 |
| VI | $2109.43 | — |
| VT | $2032.70 | $2109.43 |
| WA | $2032.70 | $2109.43 |
| WI | $2032.70 | $2109.43 |
| WV | $2032.70 | $2109.43 |
| WY | $2032.70 | $2109.43 |
Common denial codes to watch
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