MyMedi-AI

K0840 — Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more

HCPCS Level II K-code · short descriptor: “Pwc gp2 xhd 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 K0840 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 K0840 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.

K0840 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $1175.41 to $1550.23 depending on state and rural status.

StateNon-ruralRural
AK$1462.71—
AL$1175.41$1462.71
AR$1175.41$1462.71
AZ$1175.41$1462.71
CA$1175.41$1462.71
CO$1175.41$1462.71
CT$1175.41$1462.71
DC$1175.41$1462.71
DE$1175.41$1462.71
FL$1175.41$1462.71
GA$1175.41$1462.71
HI$1462.71—
IA$1175.41$1462.71
ID$1175.41$1462.71
IL$1175.41$1462.71
IN$1175.41$1462.71
KS$1175.41$1462.71
KY$1175.41$1462.71
LA$1175.41$1462.71
MA$1175.41$1462.71
MD$1175.41$1462.71
ME$1175.41$1462.71
MI$1175.41$1462.71
MN$1175.41$1462.71
MO$1175.41$1462.71
MS$1175.41$1462.71
MT$1175.41$1462.71
NC$1175.41$1462.71
ND$1175.41$1462.71
NE$1175.41$1462.71
NH$1175.41$1462.71
NJ$1175.41$1462.71
NM$1175.41$1462.71
NV$1175.41$1462.71
NY$1175.41$1462.71
OH$1175.41$1462.71
OK$1175.41$1462.71
OR$1175.41$1462.71
PA$1175.41$1462.71
PR$1550.23—
RI$1175.41$1462.71
SC$1175.41$1462.71
SD$1175.41$1462.71
TN$1175.41$1462.71
TX$1175.41$1462.71
UT$1175.41$1462.71
VA$1175.41$1462.71
VI$1462.71—
VT$1175.41$1462.71
WA$1175.41$1462.71
WI$1175.41$1462.71
WV$1175.41$1462.71
WY$1175.41$1462.71
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 K0840 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 K0840 with confidence

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