MyMedi-AI

K0824 — Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 2 hd 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 K0824 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 K0824 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.

K0824 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $478.75 to $781.57 depending on state and rural status.

StateNon-ruralRural
AK$736.95—
AL$546.25$736.95
AR$546.25$736.95
AZ$534.97$736.95
CA$548.79$736.95
CO$534.37$736.95
CT$478.75$736.95
DC$490.21$736.95
DE$490.21$736.95
FL$546.25$736.95
GA$546.25$736.95
HI$736.95—
IA$563.60$736.95
ID$534.37$736.95
IL$517.89$736.95
IN$517.89$736.95
KS$563.60$736.95
KY$546.25$736.95
LA$546.25$736.95
MA$478.75$736.95
MD$490.21$736.95
ME$478.75$736.95
MI$517.89$736.95
MN$563.60$736.95
MO$563.60$736.95
MS$546.25$736.95
MT$534.37$736.95
NC$546.25$736.95
ND$563.60$736.95
NE$563.60$736.95
NH$478.75$736.95
NJ$490.21$736.95
NM$534.97$736.95
NV$548.79$736.95
NY$490.21$736.95
OH$517.89$736.95
OK$534.97$736.95
OR$548.79$736.95
PA$490.21$736.95
PR$781.57—
RI$478.75$736.95
SC$546.25$736.95
SD$563.60$736.95
TN$546.25$736.95
TX$534.97$736.95
UT$534.37$736.95
VA$546.25$736.95
VI$736.95—
VT$478.75$736.95
WA$548.79$736.95
WI$517.89$736.95
WV$546.25$736.95
WY$534.37$736.95
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 K0824 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 K0824 with confidence

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