K0005 HCPCS code: Ultralightweight wheelchair
K0005 is the HCPCS Level II code for ultralightweight wheelchair. The 2026 Medicare DMEPOS fee schedule pays $2,590.67 to $2,797.90 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume rose 20% from 2022 to 2024 (18,035 to 21,620 services). In 2024, 763 suppliers billed Medicare for K0005 (purchases), serving 21,151 beneficiaries; Texas, California, Florida accounted for 40% of services. Its average fee ranks 28 of 28 K00 codes billed NU (family range $19.23–$2,627.69).
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 1994-01-01 |
| Last action effective | 1994-01-01 |
2026 Medicare DMEPOS fee schedule for K0005
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $2,590.67 | $2,797.90 | $2,634.76 | $2,239.55 |
| RR | rental (monthly) | $259.07 | $264.45 | $263.45 | $223.93 |
| UE | used equipment, purchased | $1,943.03 | $2,098.42 | $1,976.01 | $1,679.61 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $2,616.59 | — |
| AL | NU | $2,634.76 | — |
| AR | NU | $2,634.76 | — |
| AZ | NU | $2,590.67 | — |
| CA | NU | $2,590.67 | — |
| CO | NU | $2,634.76 | — |
| CT | NU | $2,634.76 | — |
| DC | NU | $2,634.76 | — |
| DE | NU | $2,634.76 | — |
| FL | NU | $2,634.76 | — |
| GA | NU | $2,634.76 | — |
| HI | NU | $2,797.90 | — |
| IA | NU | $2,590.67 | — |
| ID | NU | $2,590.67 | — |
| IL | NU | $2,634.76 | — |
| IN | NU | $2,634.76 | — |
| KS | NU | $2,590.67 | — |
| KY | NU | $2,634.76 | — |
| LA | NU | $2,634.76 | — |
| MA | NU | $2,634.76 | — |
| MD | NU | $2,634.76 | — |
| ME | NU | $2,634.76 | — |
| MI | NU | $2,634.76 | — |
| MN | NU | $2,634.76 | — |
| MO | NU | $2,634.76 | — |
| MS | NU | $2,634.76 | — |
| MT | NU | $2,590.67 | — |
| NC | NU | $2,634.76 | — |
| ND | NU | $2,590.67 | — |
| NE | NU | $2,590.67 | — |
| NH | NU | $2,634.76 | — |
| NJ | NU | $2,634.76 | — |
| NM | NU | $2,634.76 | — |
| NV | NU | $2,590.67 | — |
| NY | NU | $2,634.76 | — |
| OH | NU | $2,634.76 | — |
| OK | NU | $2,634.76 | — |
| OR | NU | $2,590.67 | — |
| PA | NU | $2,634.76 | — |
| PR | NU | $2,644.29 | — |
| RI | NU | $2,634.76 | — |
| SC | NU | $2,634.76 | — |
| SD | NU | $2,590.67 | — |
| TN | NU | $2,634.76 | — |
| TX | NU | $2,634.76 | — |
| UT | NU | $2,634.76 | — |
| VA | NU | $2,634.76 | — |
| VI | NU | $2,634.76 | — |
| VT | NU | $2,634.76 | — |
| WA | NU | $2,634.76 | — |
| WI | NU | $2,634.76 | — |
| WV | NU | $2,634.76 | — |
| WY | NU | $2,590.67 | — |
| AK | RR | $259.07 | — |
| AL | RR | $263.45 | — |
| AR | RR | $263.45 | — |
| AZ | RR | $259.07 | — |
| CA | RR | $259.07 | — |
| CO | RR | $263.45 | — |
| CT | RR | $263.45 | — |
| DC | RR | $263.45 | — |
| DE | RR | $263.45 | — |
| FL | RR | $263.45 | — |
| GA | RR | $263.45 | — |
| HI | RR | $259.07 | — |
| IA | RR | $259.07 | — |
| ID | RR | $259.07 | — |
| IL | RR | $263.45 | — |
| IN | RR | $263.45 | — |
| KS | RR | $259.07 | — |
| KY | RR | $263.45 | — |
| LA | RR | $263.45 | — |
| MA | RR | $263.45 | — |
| MD | RR | $263.45 | — |
| ME | RR | $263.45 | — |
| MI | RR | $263.45 | — |
| MN | RR | $263.45 | — |
| MO | RR | $263.45 | — |
| MS | RR | $263.45 | — |
| MT | RR | $259.07 | — |
| NC | RR | $263.45 | — |
| ND | RR | $259.07 | — |
| NE | RR | $259.07 | — |
| NH | RR | $263.45 | — |
| NJ | RR | $263.45 | — |
| NM | RR | $263.45 | — |
| NV | RR | $259.07 | — |
| NY | RR | $263.45 | — |
| OH | RR | $263.45 | — |
| OK | RR | $263.45 | — |
| OR | RR | $259.07 | — |
| PA | RR | $263.45 | — |
| PR | RR | $264.45 | — |
| RI | RR | $263.45 | — |
| SC | RR | $263.45 | — |
| SD | RR | $259.07 | — |
| TN | RR | $263.45 | — |
| TX | RR | $263.45 | — |
| UT | RR | $263.45 | — |
| VA | RR | $263.45 | — |
| VI | RR | $263.45 | — |
| VT | RR | $263.45 | — |
| WA | RR | $263.45 | — |
| WI | RR | $263.45 | — |
| WV | RR | $263.45 | — |
| WY | RR | $259.07 | — |
| AK | UE | $1,962.43 | — |
| AL | UE | $1,976.01 | — |
| AR | UE | $1,976.01 | — |
| AZ | UE | $1,943.03 | — |
| CA | UE | $1,943.03 | — |
| CO | UE | $1,976.01 | — |
| CT | UE | $1,976.01 | — |
| DC | UE | $1,976.01 | — |
| DE | UE | $1,976.01 | — |
| FL | UE | $1,976.01 | — |
| GA | UE | $1,976.01 | — |
| HI | UE | $2,098.42 | — |
| IA | UE | $1,943.03 | — |
| ID | UE | $1,943.03 | — |
| IL | UE | $1,976.01 | — |
| IN | UE | $1,976.01 | — |
| KS | UE | $1,943.03 | — |
| KY | UE | $1,976.01 | — |
| LA | UE | $1,976.01 | — |
| MA | UE | $1,976.01 | — |
| MD | UE | $1,976.01 | — |
| ME | UE | $1,976.01 | — |
| MI | UE | $1,976.01 | — |
| MN | UE | $1,976.01 | — |
| MO | UE | $1,976.01 | — |
| MS | UE | $1,976.01 | — |
| MT | UE | $1,943.03 | — |
| NC | UE | $1,976.01 | — |
| ND | UE | $1,943.03 | — |
| NE | UE | $1,943.03 | — |
| NH | UE | $1,976.01 | — |
| NJ | UE | $1,976.01 | — |
| NM | UE | $1,976.01 | — |
| NV | UE | $1,943.03 | — |
| NY | UE | $1,976.01 | — |
| OH | UE | $1,976.01 | — |
| OK | UE | $1,976.01 | — |
| OR | UE | $1,943.03 | — |
| PA | UE | $1,976.01 | — |
| PR | UE | $1,983.25 | — |
| RI | UE | $1,976.01 | — |
| SC | UE | $1,976.01 | — |
| SD | UE | $1,943.03 | — |
| TN | UE | $1,976.01 | — |
| TX | UE | $1,976.01 | — |
| UT | UE | $1,976.01 | — |
| VA | UE | $1,976.01 | — |
| VI | UE | $1,976.01 | — |
| VT | UE | $1,976.01 | — |
| WA | UE | $1,976.01 | — |
| WI | UE | $1,976.01 | — |
| WV | UE | $1,976.01 | — |
| WY | UE | $1,943.03 | — |
How the K0005 fee compares
| Measure | Value |
|---|---|
| Rank among 28 K00 codes billed NU (lowest = 1) | 28 |
| Family fee range (average of state fees) | $19.23–$2,627.69 |
| Rural fee uplift | — |
Who bills K0005 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 44 |
| Suppliers billing purchases | 763 |
| Referring clinicians | 10,407 |
| Medicare beneficiaries | 21,151 |
| States with claims | 51 |
| Share of services in top 3 states (Texas, California, Florida) | 40% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 748 | 17,561 |
| 2023 | 735 | 18,890 |
| 2024 | 763 | 21,151 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for K0005, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 18,035 | 17,561 | $2,149.62 | $1,673.53 |
| 2023 | 19,316 | 18,890 | $2,333.95 | $1,812.39 |
| 2024 | 21,620 | 21,151 | $2,434.36 | $1,889.68 |
States with the most K0005 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 4,552 | $1,909.73 |
| California | 2,934 | $1,840.24 |
| Florida | 1,167 | $1,910.29 |
| Arizona | 923 | $1,935.66 |
| Utah | 723 | $1,865.24 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52497: Manual Wheelchair Bases - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52504: Wheelchair Options/Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for K0005
- 2026-01-01: Average state fee (NU) rose 2.0%: $2,576.17 to $2,627.69
- 2026-01-01: Average state fee (RR) rose 2.0%: $257.17 to $262.31
- 2026-01-01: Average state fee (UE) rose 2.0%: $1,932.09 to $1,970.73
- 1994-01-01: K0005 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code K0005?
K0005 is the HCPCS Level II code for ultralightweight wheelchair. Short descriptor: "Ultralightweight wheelchair".
How much does Medicare pay for K0005?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $2,590.67–$2,797.90; RR (rental (monthly)): $259.07–$264.45; UE (used equipment, purchased): $1,943.03–$2,098.42. Rural fees can be higher.
Does Medicare cover K0005?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for K0005 change in 2026?
The average non-rural state fee for NU moved from $2,576.17 in 2025 to $2,627.69 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K0005 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related K00 codes
- K0001 — Standard wheelchair ($25.23–$53.63)
- K0002 — Standard hemi (low seat) wheelchair ($38.93–$101.05)
- K0003 — Lightweight wheelchair ($36.91–$115.29)
- K0004 — High strength, lightweight wheelchair ($48.55–$163.93)
- K0006 — Heavy duty wheelchair ($68.77–$169.03)
- K0007 — Extra heavy duty wheelchair ($96.40–$211.59)
- K0008 — Custom manual wheelchair/base
- K0009 — Other manual wheelchair/base ($101.86–$122.26)
- K0010 — Standard - weight frame motorized/power wheelchair ($516.03–$1,144.42)
- K0011 — Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ($641.58–$810.57)
- K0012 — Lightweight portable motorized/power wheelchair ($393.59–$543.05)
- K0013 — Custom motorized/power wheelchair base
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under K0005
- Watch K0005 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0005
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.