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K0838 — Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 2 hd sing pow opt cap” · 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 K0838 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.

K0838 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $510.83 to $694.44 depending on state and rural status.

StateNon-ruralRural
AK$654.52—
AL$510.83$654.52
AR$510.83$654.52
AZ$510.83$654.52
CA$510.83$654.52
CO$510.83$654.52
CT$510.83$654.52
DC$510.83$654.52
DE$510.83$654.52
FL$510.83$654.52
GA$510.83$654.52
HI$654.52—
IA$510.83$654.52
ID$510.83$654.52
IL$510.83$654.52
IN$510.83$654.52
KS$510.83$654.52
KY$510.83$654.52
LA$510.83$654.52
MA$510.83$654.52
MD$510.83$654.52
ME$510.83$654.52
MI$510.83$654.52
MN$510.83$654.52
MO$510.83$654.52
MS$510.83$654.52
MT$510.83$654.52
NC$510.83$654.52
ND$510.83$654.52
NE$510.83$654.52
NH$510.83$654.52
NJ$510.83$654.52
NM$510.83$654.52
NV$510.83$654.52
NY$510.83$654.52
OH$510.83$654.52
OK$510.83$654.52
OR$510.83$654.52
PA$510.83$654.52
PR$694.44—
RI$510.83$654.52
SC$510.83$654.52
SD$510.83$654.52
TN$510.83$654.52
TX$510.83$654.52
UT$510.83$654.52
VA$510.83$654.52
VI$654.52—
VT$510.83$654.52
WA$510.83$654.52
WI$510.83$654.52
WV$510.83$654.52
WY$510.83$654.52
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

CO-50 medical necessityCO-197 no prior auth

Related K-codes

K0800K0801K0802K0806K0807K0808K0812K0813K0814K0815K0816K0820

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