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K0842 — Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp2 std mult 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 K0842 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.

K0842 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $505.64 to $690.46 depending on state and rural status.

StateNon-ruralRural
AK$650.68—
AL$505.64$650.68
AR$505.64$650.68
AZ$505.64$650.68
CA$505.64$650.68
CO$505.64$650.68
CT$505.64$650.68
DC$505.64$650.68
DE$505.64$650.68
FL$505.64$650.68
GA$505.64$650.68
HI$650.68—
IA$505.64$650.68
ID$505.64$650.68
IL$505.64$650.68
IN$505.64$650.68
KS$505.64$650.68
KY$505.64$650.68
LA$505.64$650.68
MA$505.64$650.68
MD$505.64$650.68
ME$505.64$650.68
MI$505.64$650.68
MN$505.64$650.68
MO$505.64$650.68
MS$505.64$650.68
MT$505.64$650.68
NC$505.64$650.68
ND$505.64$650.68
NE$505.64$650.68
NH$505.64$650.68
NJ$505.64$650.68
NM$505.64$650.68
NV$505.64$650.68
NY$505.64$650.68
OH$505.64$650.68
OK$505.64$650.68
OR$505.64$650.68
PA$505.64$650.68
PR$690.46—
RI$505.64$650.68
SC$505.64$650.68
SD$505.64$650.68
TN$505.64$650.68
TX$505.64$650.68
UT$505.64$650.68
VA$505.64$650.68
VI$650.68—
VT$505.64$650.68
WA$505.64$650.68
WI$505.64$650.68
WV$505.64$650.68
WY$505.64$650.68
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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