K0828 — Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
HCPCS Level II K-code · short descriptor: “Pwc gp 2 xtra 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)
- Status
- Active (April 2026 HCPCS)
Prior authorization
PA REQUIRED K0828 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.
K0828 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $1061.46 to $1334.70 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $1271.06 | — |
| AL | $1064.22 | $1246.67 |
| AR | $1064.22 | $1246.67 |
| AZ | $1112.33 | $1246.67 |
| CA | $1069.11 | $1246.67 |
| CO | $1126.96 | $1246.67 |
| CT | $1155.84 | $1246.67 |
| DC | $1061.46 | $1246.67 |
| DE | $1061.46 | $1246.67 |
| FL | $1064.22 | $1246.67 |
| GA | $1064.22 | $1246.67 |
| HI | $1271.06 | — |
| IA | $1152.51 | $1246.67 |
| ID | $1126.96 | $1246.67 |
| IL | $1173.15 | $1246.67 |
| IN | $1173.15 | $1246.67 |
| KS | $1152.51 | $1246.67 |
| KY | $1064.22 | $1246.67 |
| LA | $1064.22 | $1246.67 |
| MA | $1155.84 | $1246.67 |
| MD | $1061.46 | $1246.67 |
| ME | $1155.84 | $1246.67 |
| MI | $1173.15 | $1246.67 |
| MN | $1152.51 | $1246.67 |
| MO | $1152.51 | $1246.67 |
| MS | $1064.22 | $1246.67 |
| MT | $1126.96 | $1246.67 |
| NC | $1064.22 | $1246.67 |
| ND | $1152.51 | $1246.67 |
| NE | $1152.51 | $1246.67 |
| NH | $1155.84 | $1246.67 |
| NJ | $1061.46 | $1246.67 |
| NM | $1112.33 | $1246.67 |
| NV | $1069.11 | $1246.67 |
| NY | $1061.46 | $1246.67 |
| OH | $1173.15 | $1246.67 |
| OK | $1112.33 | $1246.67 |
| OR | $1069.11 | $1246.67 |
| PA | $1061.46 | $1246.67 |
| PR | $1334.70 | — |
| RI | $1155.84 | $1246.67 |
| SC | $1064.22 | $1246.67 |
| SD | $1152.51 | $1246.67 |
| TN | $1064.22 | $1246.67 |
| TX | $1112.33 | $1246.67 |
| UT | $1126.96 | $1246.67 |
| VA | $1064.22 | $1246.67 |
| VI | $1271.06 | — |
| VT | $1155.84 | $1246.67 |
| WA | $1069.11 | $1246.67 |
| WI | $1173.15 | $1246.67 |
| WV | $1064.22 | $1246.67 |
| WY | $1126.96 | $1246.67 |
Common denial codes to watch
Related K-codes
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