MyMedi-AI

K0829 — Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more

HCPCS Level II K-code · short descriptor: “Pwc gp 2 xtra 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)
Face-to-face & WOPD
Required (Power Mobility Devices)
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

PA REQUIRED K0829 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 K0829 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.

K0829 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $1010.21 to $1236.06 depending on state and rural status.

StateNon-ruralRural
AK$1168.84—
AL$1067.47$1168.84
AR$1067.47$1168.84
AZ$1073.32$1168.84
CA$1010.21$1168.84
CO$1092.37$1168.84
CT$1122.74$1168.84
DC$1021.04$1168.84
DE$1021.04$1168.84
FL$1067.47$1168.84
GA$1067.47$1168.84
HI$1168.84—
IA$1119.72$1168.84
ID$1092.37$1168.84
IL$1108.62$1168.84
IN$1108.62$1168.84
KS$1119.72$1168.84
KY$1067.47$1168.84
LA$1067.47$1168.84
MA$1122.74$1168.84
MD$1021.04$1168.84
ME$1122.74$1168.84
MI$1108.62$1168.84
MN$1119.72$1168.84
MO$1119.72$1168.84
MS$1067.47$1168.84
MT$1092.37$1168.84
NC$1067.47$1168.84
ND$1119.72$1168.84
NE$1119.72$1168.84
NH$1122.74$1168.84
NJ$1021.04$1168.84
NM$1073.32$1168.84
NV$1010.21$1168.84
NY$1021.04$1168.84
OH$1108.62$1168.84
OK$1073.32$1168.84
OR$1010.21$1168.84
PA$1021.04$1168.84
PR$1236.06—
RI$1122.74$1168.84
SC$1067.47$1168.84
SD$1119.72$1168.84
TN$1067.47$1168.84
TX$1073.32$1168.84
UT$1092.37$1168.84
VA$1067.47$1168.84
VI$1168.84—
VT$1122.74$1168.84
WA$1010.21$1168.84
WI$1108.62$1168.84
WV$1067.47$1168.84
WY$1092.37$1168.84
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 K0829 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 K0829 with confidence

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