MyMedi-AI

K0837 — Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 2 hd 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 K0837 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 K0837 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.

K0837 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $576.34 to $778.91 depending on state and rural status.

StateNon-ruralRural
AK$734.30—
AL$576.34$734.30
AR$576.34$734.30
AZ$576.34$734.30
CA$576.34$734.30
CO$576.34$734.30
CT$576.34$734.30
DC$576.34$734.30
DE$576.34$734.30
FL$576.34$734.30
GA$576.34$734.30
HI$734.30—
IA$576.34$734.30
ID$576.34$734.30
IL$576.34$734.30
IN$576.34$734.30
KS$576.34$734.30
KY$576.34$734.30
LA$576.34$734.30
MA$576.34$734.30
MD$576.34$734.30
ME$576.34$734.30
MI$576.34$734.30
MN$576.34$734.30
MO$576.34$734.30
MS$576.34$734.30
MT$576.34$734.30
NC$576.34$734.30
ND$576.34$734.30
NE$576.34$734.30
NH$576.34$734.30
NJ$576.34$734.30
NM$576.34$734.30
NV$576.34$734.30
NY$576.34$734.30
OH$576.34$734.30
OK$576.34$734.30
OR$576.34$734.30
PA$576.34$734.30
PR$778.91—
RI$576.34$734.30
SC$576.34$734.30
SD$576.34$734.30
TN$576.34$734.30
TX$576.34$734.30
UT$576.34$734.30
VA$576.34$734.30
VI$734.30—
VT$576.34$734.30
WA$576.34$734.30
WI$576.34$734.30
WV$576.34$734.30
WY$576.34$734.30
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 K0837 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 K0837 with confidence

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