K0823 — Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 2 std 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 K0823 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.

K0823 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $328.10 to $596.48 depending on state and rural status.

State	Non-rural	Rural
AK	$559.39	—
AL	$350.31	$559.39
AR	$350.31	$559.39
AZ	$346.05	$559.39
CA	$344.95	$559.39
CO	$342.07	$559.39
CT	$328.22	$559.39
DC	$328.10	$559.39
DE	$328.10	$559.39
FL	$350.31	$559.39
GA	$350.31	$559.39
HI	$559.39	—
IA	$353.74	$559.39
ID	$342.07	$559.39
IL	$343.79	$559.39
IN	$343.79	$559.39
KS	$353.74	$559.39
KY	$350.31	$559.39
LA	$350.31	$559.39
MA	$328.22	$559.39
MD	$328.10	$559.39
ME	$328.22	$559.39
MI	$343.79	$559.39
MN	$353.74	$559.39
MO	$353.74	$559.39
MS	$350.31	$559.39
MT	$342.07	$559.39
NC	$350.31	$559.39
ND	$353.74	$559.39
NE	$353.74	$559.39
NH	$328.22	$559.39
NJ	$328.10	$559.39
NM	$346.05	$559.39
NV	$344.95	$559.39
NY	$328.10	$559.39
OH	$343.79	$559.39
OK	$346.05	$559.39
OR	$344.95	$559.39
PA	$328.10	$559.39
PR	$596.48	—
RI	$328.22	$559.39
SC	$350.31	$559.39
SD	$353.74	$559.39
TN	$350.31	$559.39
TX	$346.05	$559.39
UT	$342.07	$559.39
VA	$350.31	$559.39
VI	$559.39	—
VT	$328.22	$559.39
WA	$344.95	$559.39
WI	$343.79	$559.39
WV	$350.31	$559.39
WY	$342.07	$559.39

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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