K0813 — Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 1 std port seat/back” · 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: Capped rental
Prior authorization: Required (Medicare, since 2018-09-01)
Status: Active (April 2026 HCPCS)

Prior authorization

PA REQUIRED K0813 is on Medicare's DMEPOS Required Prior Authorization List (Power Mobility Devices — nationwide since 2018-09-01).

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.

K0813 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $312.68 to $422.33 depending on state and rural status.

State	Non-rural	Rural
AK	$400.10	—
AL	$321.66	$400.10
AR	$321.66	$400.10
AZ	$324.84	$400.10
CA	$316.96	$400.10
CO	$326.26	$400.10
CT	$322.74	$400.10
DC	$312.68	$400.10
DE	$312.68	$400.10
FL	$321.66	$400.10
GA	$321.66	$400.10
HI	$400.10	—
IA	$333.98	$400.10
ID	$326.26	$400.10
IL	$327.43	$400.10
IN	$327.43	$400.10
KS	$333.98	$400.10
KY	$321.66	$400.10
LA	$321.66	$400.10
MA	$322.74	$400.10
MD	$312.68	$400.10
ME	$322.74	$400.10
MI	$327.43	$400.10
MN	$333.98	$400.10
MO	$333.98	$400.10
MS	$321.66	$400.10
MT	$326.26	$400.10
NC	$321.66	$400.10
ND	$333.98	$400.10
NE	$333.98	$400.10
NH	$322.74	$400.10
NJ	$312.68	$400.10
NM	$324.84	$400.10
NV	$316.96	$400.10
NY	$312.68	$400.10
OH	$327.43	$400.10
OK	$324.84	$400.10
OR	$316.96	$400.10
PA	$312.68	$400.10
PR	$422.33	—
RI	$322.74	$400.10
SC	$321.66	$400.10
SD	$333.98	$400.10
TN	$321.66	$400.10
TX	$324.84	$400.10
UT	$326.26	$400.10
VA	$321.66	$400.10
VI	$400.10	—
VT	$322.74	$400.10
WA	$316.96	$400.10
WI	$327.43	$400.10
WV	$321.66	$400.10
WY	$326.26	$400.10

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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