MyMedi-AI

K0827 — Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds

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

Prior authorization

PA REQUIRED K0827 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 K0827 is on Medicare's Required Face-to-Face & WOPD List (Power Mobility Devices — CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 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.

K0827 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $708.86 to $1029.95 depending on state and rural status.

StateNon-ruralRural
AK$980.82—
AL$803.69$921.34
AR$803.69$921.34
AZ$760.20$921.34
CA$788.07$921.34
CO$765.67$921.34
CT$738.35$921.34
DC$708.86$921.34
DE$708.86$921.34
FL$803.69$921.34
GA$803.69$921.34
HI$980.82—
IA$835.77$921.34
ID$765.67$921.34
IL$826.17$921.34
IN$826.17$921.34
KS$835.77$921.34
KY$803.69$921.34
LA$803.69$921.34
MA$738.35$921.34
MD$708.86$921.34
ME$738.35$921.34
MI$826.17$921.34
MN$835.77$921.34
MO$835.77$921.34
MS$803.69$921.34
MT$765.67$921.34
NC$803.69$921.34
ND$835.77$921.34
NE$835.77$921.34
NH$738.35$921.34
NJ$708.86$921.34
NM$760.20$921.34
NV$788.07$921.34
NY$708.86$921.34
OH$826.17$921.34
OK$760.20$921.34
OR$788.07$921.34
PA$708.86$921.34
PR$1029.95—
RI$738.35$921.34
SC$803.69$921.34
SD$835.77$921.34
TN$803.69$921.34
TX$760.20$921.34
UT$765.67$921.34
VA$803.69$921.34
VI$980.82—
VT$738.35$921.34
WA$788.07$921.34
WI$826.17$921.34
WV$803.69$921.34
WY$765.67$921.34
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 K0827 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 K0827 with confidence

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