K0808 — Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds
HCPCS Level II K-code · short descriptor: “Pov group 2 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)
- Status
- Active (April 2026 HCPCS)
Prior authorization
PA REQUIRED K0808 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 K0808 is on Medicare's Required Face-to-Face & WOPD List (Power Mobility Devices — list effective 2026-04-13, 83 items). 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.
K0808 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $4189.62 to $4575.25 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $4349.77 | — |
| AL | $4189.62 | $4349.77 |
| AR | $4189.62 | $4349.77 |
| AZ | $4189.62 | $4349.77 |
| CA | $4189.62 | $4349.77 |
| CO | $4189.62 | $4349.77 |
| CT | $4189.62 | $4349.77 |
| DC | $4189.62 | $4349.77 |
| DE | $4189.62 | $4349.77 |
| FL | $4189.62 | $4349.77 |
| GA | $4189.62 | $4349.77 |
| HI | $4349.77 | — |
| IA | $4189.62 | $4349.77 |
| ID | $4189.62 | $4349.77 |
| IL | $4189.62 | $4349.77 |
| IN | $4189.62 | $4349.77 |
| KS | $4189.62 | $4349.77 |
| KY | $4189.62 | $4349.77 |
| LA | $4189.62 | $4349.77 |
| MA | $4189.62 | $4349.77 |
| MD | $4189.62 | $4349.77 |
| ME | $4189.62 | $4349.77 |
| MI | $4189.62 | $4349.77 |
| MN | $4189.62 | $4349.77 |
| MO | $4189.62 | $4349.77 |
| MS | $4189.62 | $4349.77 |
| MT | $4189.62 | $4349.77 |
| NC | $4189.62 | $4349.77 |
| ND | $4189.62 | $4349.77 |
| NE | $4189.62 | $4349.77 |
| NH | $4189.62 | $4349.77 |
| NJ | $4189.62 | $4349.77 |
| NM | $4189.62 | $4349.77 |
| NV | $4189.62 | $4349.77 |
| NY | $4189.62 | $4349.77 |
| OH | $4189.62 | $4349.77 |
| OK | $4189.62 | $4349.77 |
| OR | $4189.62 | $4349.77 |
| PA | $4189.62 | $4349.77 |
| PR | $4575.25 | — |
| RI | $4189.62 | $4349.77 |
| SC | $4189.62 | $4349.77 |
| SD | $4189.62 | $4349.77 |
| TN | $4189.62 | $4349.77 |
| TX | $4189.62 | $4349.77 |
| UT | $4189.62 | $4349.77 |
| VA | $4189.62 | $4349.77 |
| VI | $4349.77 | — |
| VT | $4189.62 | $4349.77 |
| WA | $4189.62 | $4349.77 |
| WI | $4189.62 | $4349.77 |
| WV | $4189.62 | $4349.77 |
| WY | $4189.62 | $4349.77 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $418.96 to $457.51 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $434.98 | — |
| AL | $418.96 | $434.98 |
| AR | $418.96 | $434.98 |
| AZ | $418.96 | $434.98 |
| CA | $418.96 | $434.98 |
| CO | $418.96 | $434.98 |
| CT | $418.96 | $434.98 |
| DC | $418.96 | $434.98 |
| DE | $418.96 | $434.98 |
| FL | $418.96 | $434.98 |
| GA | $418.96 | $434.98 |
| HI | $434.98 | — |
| IA | $418.96 | $434.98 |
| ID | $418.96 | $434.98 |
| IL | $418.96 | $434.98 |
| IN | $418.96 | $434.98 |
| KS | $418.96 | $434.98 |
| KY | $418.96 | $434.98 |
| LA | $418.96 | $434.98 |
| MA | $418.96 | $434.98 |
| MD | $418.96 | $434.98 |
| ME | $418.96 | $434.98 |
| MI | $418.96 | $434.98 |
| MN | $418.96 | $434.98 |
| MO | $418.96 | $434.98 |
| MS | $418.96 | $434.98 |
| MT | $418.96 | $434.98 |
| NC | $418.96 | $434.98 |
| ND | $418.96 | $434.98 |
| NE | $418.96 | $434.98 |
| NH | $418.96 | $434.98 |
| NJ | $418.96 | $434.98 |
| NM | $418.96 | $434.98 |
| NV | $418.96 | $434.98 |
| NY | $418.96 | $434.98 |
| OH | $418.96 | $434.98 |
| OK | $418.96 | $434.98 |
| OR | $418.96 | $434.98 |
| PA | $418.96 | $434.98 |
| PR | $457.51 | — |
| RI | $418.96 | $434.98 |
| SC | $418.96 | $434.98 |
| SD | $418.96 | $434.98 |
| TN | $418.96 | $434.98 |
| TX | $418.96 | $434.98 |
| UT | $418.96 | $434.98 |
| VA | $418.96 | $434.98 |
| VI | $434.98 | — |
| VT | $418.96 | $434.98 |
| WA | $418.96 | $434.98 |
| WI | $418.96 | $434.98 |
| WV | $418.96 | $434.98 |
| WY | $418.96 | $434.98 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $3142.21 to $3431.44 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3262.32 | — |
| AL | $3142.21 | $3262.32 |
| AR | $3142.21 | $3262.32 |
| AZ | $3142.21 | $3262.32 |
| CA | $3142.21 | $3262.32 |
| CO | $3142.21 | $3262.32 |
| CT | $3142.21 | $3262.32 |
| DC | $3142.21 | $3262.32 |
| DE | $3142.21 | $3262.32 |
| FL | $3142.21 | $3262.32 |
| GA | $3142.21 | $3262.32 |
| HI | $3262.32 | — |
| IA | $3142.21 | $3262.32 |
| ID | $3142.21 | $3262.32 |
| IL | $3142.21 | $3262.32 |
| IN | $3142.21 | $3262.32 |
| KS | $3142.21 | $3262.32 |
| KY | $3142.21 | $3262.32 |
| LA | $3142.21 | $3262.32 |
| MA | $3142.21 | $3262.32 |
| MD | $3142.21 | $3262.32 |
| ME | $3142.21 | $3262.32 |
| MI | $3142.21 | $3262.32 |
| MN | $3142.21 | $3262.32 |
| MO | $3142.21 | $3262.32 |
| MS | $3142.21 | $3262.32 |
| MT | $3142.21 | $3262.32 |
| NC | $3142.21 | $3262.32 |
| ND | $3142.21 | $3262.32 |
| NE | $3142.21 | $3262.32 |
| NH | $3142.21 | $3262.32 |
| NJ | $3142.21 | $3262.32 |
| NM | $3142.21 | $3262.32 |
| NV | $3142.21 | $3262.32 |
| NY | $3142.21 | $3262.32 |
| OH | $3142.21 | $3262.32 |
| OK | $3142.21 | $3262.32 |
| OR | $3142.21 | $3262.32 |
| PA | $3142.21 | $3262.32 |
| PR | $3431.44 | — |
| RI | $3142.21 | $3262.32 |
| SC | $3142.21 | $3262.32 |
| SD | $3142.21 | $3262.32 |
| TN | $3142.21 | $3262.32 |
| TX | $3142.21 | $3262.32 |
| UT | $3142.21 | $3262.32 |
| VA | $3142.21 | $3262.32 |
| VI | $3262.32 | — |
| VT | $3142.21 | $3262.32 |
| WA | $3142.21 | $3262.32 |
| WI | $3142.21 | $3262.32 |
| WV | $3142.21 | $3262.32 |
| WY | $3142.21 | $3262.32 |
Common denial codes to watch
Related K-codes
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