K0825 — Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 2 hd 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 K0825 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.

K0825 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $469.43 to $733.08 depending on state and rural status.

State	Non-rural	Rural
AK	$692.25	—
AL	$494.62	$677.89
AR	$494.62	$677.89
AZ	$500.62	$677.89
CA	$511.22	$677.89
CO	$490.11	$677.89
CT	$469.43	$677.89
DC	$470.56	$677.89
DE	$470.56	$677.89
FL	$494.62	$677.89
GA	$494.62	$677.89
HI	$692.25	—
IA	$509.98	$677.89
ID	$490.11	$677.89
IL	$472.65	$677.89
IN	$472.65	$677.89
KS	$509.98	$677.89
KY	$494.62	$677.89
LA	$494.62	$677.89
MA	$469.43	$677.89
MD	$470.56	$677.89
ME	$469.43	$677.89
MI	$472.65	$677.89
MN	$509.98	$677.89
MO	$509.98	$677.89
MS	$494.62	$677.89
MT	$490.11	$677.89
NC	$494.62	$677.89
ND	$509.98	$677.89
NE	$509.98	$677.89
NH	$469.43	$677.89
NJ	$470.56	$677.89
NM	$500.62	$677.89
NV	$511.22	$677.89
NY	$470.56	$677.89
OH	$472.65	$677.89
OK	$500.62	$677.89
OR	$511.22	$677.89
PA	$470.56	$677.89
PR	$733.08	—
RI	$469.43	$677.89
SC	$494.62	$677.89
SD	$509.98	$677.89
TN	$494.62	$677.89
TX	$500.62	$677.89
UT	$490.11	$677.89
VA	$494.62	$677.89
VI	$692.25	—
VT	$469.43	$677.89
WA	$511.22	$677.89
WI	$472.65	$677.89
WV	$494.62	$677.89
WY	$490.11	$677.89

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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