HCPCS Range Wheelchairs, Power Operated

• 1 Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ( K0813 )

• 2 Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ( K0814 )

• 3 Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ( K0815 )

• 4 Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ( K0816 )

• 5 Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0820 )

• 6 Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ( K0821 )

• 7 Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0822 )

• 8 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds ( K0823 )

• 9 Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0824 )

• 10 Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ( K0825 )

• 11 Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ( K0826 )

• 12 Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ( K0827 )

• 13 Power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ( K0828 )

• 14 Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more ( K0829 )

• 15 Power wheelchair, group 2 standard, seat elevator, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0830 )

• 16 Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds ( K0831 )

• 17 Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0835 )

• 18 Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ( K0836 )

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

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

• 21 Power wheelchair, group 2 very heavy duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds ( K0839 )

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

• 23 Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0841 )

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

• 25 Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0843 )

• 26 Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0848 )

• 27 Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds ( K0849 )

• 28 Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0850 )

• 29 Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds ( K0851 )

• 30 Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ( K0852 )

• 31 Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds ( K0853 )

• 32 Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more ( K0854 )

• 33 Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more ( K0855 )

• 34 Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0856 )

• 35 Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ( K0857 )

• 36 Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds ( K0858 )

• 37 Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds ( K0859 )

• 38 Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ( K0860 )

• 39 Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0861 )

• 40 Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0862 )

• 41 Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds ( K0863 )

• 42 Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more ( K0864 )

• 43 Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0868 )

• 44 Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds ( K0869 )

• 45 Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0870 )

• 46 Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds ( K0871 )

• 47 Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0877 )

• 48 Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds ( K0878 )

• 49 Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0879 )

• 50 Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds ( K0880 )

• 51 Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds ( K0884 )

• 52 Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds ( K0885 )

• 53 Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds ( K0886 )

• 54 Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds ( K0890 )

• 55 Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds ( K0891 )

• 56 Power wheelchair, not otherwise classified ( K0898 )

• 57 Power mobility device, not coded by DME PDAC or does not meet criteria ( K0899 )