MyMedi-AI

K0849 — Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds

HCPCS Level II K-code · short descriptor: “Pwc gp 3 std cap chair” · 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 K0849 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 K0849 is on Medicare's Required Face-to-Face & WOPD List (Power Mobility Devices — CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 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.

K0849 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $936.11 to $1029.75 depending on state and rural status.

Former-CBA payment limits: ceiling $936.11 · floor $795.69

StateNon-ruralRural
AK$936.11—
AL$936.11—
AR$936.11—
AZ$936.11—
CA$936.11—
CO$936.11—
CT$936.11—
DC$936.11—
DE$936.11—
FL$936.11—
GA$936.11—
HI$936.11—
IA$936.11—
ID$936.11—
IL$936.11—
IN$936.11—
KS$936.11—
KY$936.11—
LA$936.11—
MA$936.11—
MD$936.11—
ME$936.11—
MI$936.11—
MN$936.11—
MO$936.11—
MS$936.11—
MT$936.11—
NC$936.11—
ND$936.11—
NE$936.11—
NH$936.11—
NJ$936.11—
NM$936.11—
NV$936.11—
NY$936.11—
OH$936.11—
OK$936.11—
OR$936.11—
PA$936.11—
PR$1029.75—
RI$936.11—
SC$936.11—
SD$936.11—
TN$936.11—
TX$936.11—
UT$936.11—
VA$936.11—
VI$936.11—
VT$936.11—
WA$936.11—
WI$936.11—
WV$936.11—
WY$936.11—
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 K0849 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 K0849 with confidence

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