MyMedi-AI

K0822 — Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 2 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)
Face-to-face & WOPD
Required (Power Mobility Devices)
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

PA REQUIRED K0822 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 K0822 is on Medicare's Required Face-to-Face & WOPD List (Power Mobility Devices — CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). 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.

K0822 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $350.96 to $607.88 depending on state and rural status.

StateNon-ruralRural
AK$571.04—
AL$374.95$571.04
AR$374.95$571.04
AZ$376.41$571.04
CA$356.95$571.04
CO$359.03$571.04
CT$367.84$571.04
DC$350.96$571.04
DE$350.96$571.04
FL$374.95$571.04
GA$374.95$571.04
HI$571.04—
IA$387.27$571.04
ID$359.03$571.04
IL$362.65$571.04
IN$362.65$571.04
KS$387.27$571.04
KY$374.95$571.04
LA$374.95$571.04
MA$367.84$571.04
MD$350.96$571.04
ME$367.84$571.04
MI$362.65$571.04
MN$387.27$571.04
MO$387.27$571.04
MS$374.95$571.04
MT$359.03$571.04
NC$374.95$571.04
ND$387.27$571.04
NE$387.27$571.04
NH$367.84$571.04
NJ$350.96$571.04
NM$376.41$571.04
NV$356.95$571.04
NY$350.96$571.04
OH$362.65$571.04
OK$376.41$571.04
OR$356.95$571.04
PA$350.96$571.04
PR$607.88—
RI$367.84$571.04
SC$374.95$571.04
SD$387.27$571.04
TN$374.95$571.04
TX$376.41$571.04
UT$359.03$571.04
VA$374.95$571.04
VI$571.04—
VT$367.84$571.04
WA$356.95$571.04
WI$362.65$571.04
WV$374.95$571.04
WY$359.03$571.04
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps K0822 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related K-codes

Bill K0822 with confidence

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