MyMedi-AI

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)
Face-to-face & WOPD
Required (Power Mobility Devices)
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.

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 K0813 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.

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.

StateNon-ruralRural
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

Related K-codes

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