K0815 — Power wheelchair, group 1 standard, 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 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 K0815 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.
K0815 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $350.06 to $559.30 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $526.91 | — |
| AL | $374.57 | $526.91 |
| AR | $374.57 | $526.91 |
| AZ | $376.41 | $526.91 |
| CA | $352.83 | $526.91 |
| CO | $353.75 | $526.91 |
| CT | $367.84 | $526.91 |
| DC | $350.06 | $526.91 |
| DE | $350.06 | $526.91 |
| FL | $374.57 | $526.91 |
| GA | $374.57 | $526.91 |
| HI | $526.91 | — |
| IA | $400.00 | $526.91 |
| ID | $353.75 | $526.91 |
| IL | $359.21 | $526.91 |
| IN | $359.21 | $526.91 |
| KS | $400.00 | $526.91 |
| KY | $374.57 | $526.91 |
| LA | $374.57 | $526.91 |
| MA | $367.84 | $526.91 |
| MD | $350.06 | $526.91 |
| ME | $367.84 | $526.91 |
| MI | $359.21 | $526.91 |
| MN | $400.00 | $526.91 |
| MO | $400.00 | $526.91 |
| MS | $374.57 | $526.91 |
| MT | $353.75 | $526.91 |
| NC | $374.57 | $526.91 |
| ND | $400.00 | $526.91 |
| NE | $400.00 | $526.91 |
| NH | $367.84 | $526.91 |
| NJ | $350.06 | $526.91 |
| NM | $376.41 | $526.91 |
| NV | $352.83 | $526.91 |
| NY | $350.06 | $526.91 |
| OH | $359.21 | $526.91 |
| OK | $376.41 | $526.91 |
| OR | $352.83 | $526.91 |
| PA | $350.06 | $526.91 |
| PR | $559.30 | — |
| RI | $367.84 | $526.91 |
| SC | $374.57 | $526.91 |
| SD | $400.00 | $526.91 |
| TN | $374.57 | $526.91 |
| TX | $376.41 | $526.91 |
| UT | $353.75 | $526.91 |
| VA | $374.57 | $526.91 |
| VI | $526.91 | — |
| VT | $367.84 | $526.91 |
| WA | $352.83 | $526.91 |
| WI | $359.21 | $526.91 |
| WV | $374.57 | $526.91 |
| WY | $353.75 | $526.91 |
Common denial codes to watch
Related K-codes
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