K0012 HCPCS code: Lightweight portable motorized/power wheelchair
K0012 is the HCPCS Level II code for lightweight portable motorized/power wheelchair. The 2026 Medicare DMEPOS fee schedule pays $393.59 to $543.05 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Its average fee ranks 38 of 40 K00 codes billed RR (family range $1.93–$760.44).
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 1994-01-01 |
| Last action effective | 1997-05-05 |
2026 Medicare DMEPOS fee schedule for K0012
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $393.59 | $543.05 | $463.05 | $393.59 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $531.52 | — |
| AL | RR | $453.41 | — |
| AR | RR | $463.05 | — |
| AZ | RR | $429.74 | — |
| CA | RR | $441.13 | — |
| CO | RR | $463.05 | — |
| CT | RR | $463.05 | — |
| DC | RR | $463.05 | — |
| DE | RR | $452.00 | — |
| FL | RR | $423.87 | — |
| GA | RR | $449.16 | — |
| HI | RR | $470.60 | — |
| IA | RR | $463.05 | — |
| ID | RR | $463.05 | — |
| IL | RR | $463.05 | — |
| IN | RR | $463.05 | — |
| KS | RR | $463.05 | — |
| KY | RR | $463.05 | — |
| LA | RR | $454.88 | — |
| MA | RR | $463.05 | — |
| MD | RR | $436.77 | — |
| ME | RR | $463.05 | — |
| MI | RR | $442.83 | — |
| MN | RR | $463.05 | — |
| MO | RR | $463.05 | — |
| MS | RR | $414.96 | — |
| MT | RR | $417.55 | — |
| NC | RR | $463.05 | — |
| ND | RR | $416.95 | — |
| NE | RR | $463.05 | — |
| NH | RR | $463.05 | — |
| NJ | RR | $434.49 | — |
| NM | RR | $409.32 | — |
| NV | RR | $440.14 | — |
| NY | RR | $448.97 | — |
| OH | RR | $463.05 | — |
| OK | RR | $463.05 | — |
| OR | RR | $463.05 | — |
| PA | RR | $443.78 | — |
| PR | RR | $543.05 | — |
| RI | RR | $393.59 | — |
| SC | RR | $445.89 | — |
| SD | RR | $454.12 | — |
| TN | RR | $434.07 | — |
| TX | RR | $463.05 | — |
| UT | RR | $463.05 | — |
| VA | RR | $437.17 | — |
| VI | RR | $463.05 | — |
| VT | RR | $463.05 | — |
| WA | RR | $463.05 | — |
| WI | RR | $463.05 | — |
| WV | RR | $447.42 | — |
| WY | RR | $452.70 | — |
How the K0012 fee compares
| Measure | Value |
|---|---|
| Rank among 40 K00 codes billed RR (lowest = 1) | 38 |
| Family fee range (average of state fees) | $1.93–$760.44 |
| Rural fee uplift | — |
What changed for K0012
- 2026-01-01: Average state fee (RR) rose 2.0%: $445.05 to $453.95
- 1994-01-01: K0012 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 K0012?
K0012 is the HCPCS Level II code for lightweight portable motorized/power wheelchair. Short descriptor: "Ltwt portbl power whlchr".
How much does Medicare pay for K0012?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $393.59–$543.05. Rural fees can be higher.
Does Medicare cover K0012?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for K0012 change in 2026?
The average non-rural state fee for RR moved from $445.05 in 2025 to $453.95 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
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)
- K0005 — Ultralightweight wheelchair ($259.07–$2,797.90)
- 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)
- K0013 — Custom motorized/power wheelchair base
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Next steps
- Run a reimbursement report for a device billed under K0012
- Watch K0012 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0012
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.