MyMedi-AI

K0835 — Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp2 std sing pow opt s/b” · 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)
Status
Active (April 2026 HCPCS)

Prior authorization

PA REQUIRED K0835 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 K0835 is on Medicare's Required Face-to-Face & WOPD List (Power Mobility Devices — list effective 2026-04-13, 83 items). 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.

K0835 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $449.35 to $635.86 depending on state and rural status.

StateNon-ruralRural
AK$598.46
AL$449.35$598.46
AR$449.35$598.46
AZ$449.35$598.46
CA$449.35$598.46
CO$449.35$598.46
CT$449.35$598.46
DC$449.35$598.46
DE$449.35$598.46
FL$449.35$598.46
GA$449.35$598.46
HI$598.46
IA$449.35$598.46
ID$449.35$598.46
IL$449.35$598.46
IN$449.35$598.46
KS$449.35$598.46
KY$449.35$598.46
LA$449.35$598.46
MA$449.35$598.46
MD$449.35$598.46
ME$449.35$598.46
MI$449.35$598.46
MN$449.35$598.46
MO$449.35$598.46
MS$449.35$598.46
MT$449.35$598.46
NC$449.35$598.46
ND$449.35$598.46
NE$449.35$598.46
NH$449.35$598.46
NJ$449.35$598.46
NM$449.35$598.46
NV$449.35$598.46
NY$449.35$598.46
OH$449.35$598.46
OK$449.35$598.46
OR$449.35$598.46
PA$449.35$598.46
PR$635.86
RI$449.35$598.46
SC$449.35$598.46
SD$449.35$598.46
TN$449.35$598.46
TX$449.35$598.46
UT$449.35$598.46
VA$449.35$598.46
VI$598.46
VT$449.35$598.46
WA$449.35$598.46
WI$449.35$598.46
WV$449.35$598.46
WY$449.35$598.46
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

Related K-codes

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