K0821 — Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds
HCPCS Level II K-code · short descriptor: “Pwc gp 2 std port cap chair” · 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 K0821 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.
K0821 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $328.10 to $523.73 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $493.28 | — |
| AL | $350.14 | $493.28 |
| AR | $350.14 | $493.28 |
| AZ | $346.05 | $493.28 |
| CA | $342.91 | $493.28 |
| CO | $342.07 | $493.28 |
| CT | $328.22 | $493.28 |
| DC | $328.10 | $493.28 |
| DE | $328.10 | $493.28 |
| FL | $350.14 | $493.28 |
| GA | $350.14 | $493.28 |
| HI | $493.28 | — |
| IA | $353.74 | $493.28 |
| ID | $342.07 | $493.28 |
| IL | $343.40 | $493.28 |
| IN | $343.40 | $493.28 |
| KS | $353.74 | $493.28 |
| KY | $350.14 | $493.28 |
| LA | $350.14 | $493.28 |
| MA | $328.22 | $493.28 |
| MD | $328.10 | $493.28 |
| ME | $328.22 | $493.28 |
| MI | $343.40 | $493.28 |
| MN | $353.74 | $493.28 |
| MO | $353.74 | $493.28 |
| MS | $350.14 | $493.28 |
| MT | $342.07 | $493.28 |
| NC | $350.14 | $493.28 |
| ND | $353.74 | $493.28 |
| NE | $353.74 | $493.28 |
| NH | $328.22 | $493.28 |
| NJ | $328.10 | $493.28 |
| NM | $346.05 | $493.28 |
| NV | $342.91 | $493.28 |
| NY | $328.10 | $493.28 |
| OH | $343.40 | $493.28 |
| OK | $346.05 | $493.28 |
| OR | $342.91 | $493.28 |
| PA | $328.10 | $493.28 |
| PR | $523.73 | — |
| RI | $328.22 | $493.28 |
| SC | $350.14 | $493.28 |
| SD | $353.74 | $493.28 |
| TN | $350.14 | $493.28 |
| TX | $346.05 | $493.28 |
| UT | $342.07 | $493.28 |
| VA | $350.14 | $493.28 |
| VI | $493.28 | — |
| VT | $328.22 | $493.28 |
| WA | $342.91 | $493.28 |
| WI | $343.40 | $493.28 |
| WV | $350.14 | $493.28 |
| WY | $342.07 | $493.28 |
Common denial codes to watch
Related K-codes
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