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)
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

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 — CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 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.

K0835 Medicare fee schedule (October 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 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 K0835 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 K0835 with confidence

Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.

Start free trial   Run a CMS-0057-F readiness check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, K0835 included, and starter credits via POST /bot-marketplace/register.