K0056 HCPCS code: Seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair

K0056 is the HCPCS Level II code for seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair. The 2026 Medicare DMEPOS fee schedule pays $133.23 to $162.64 (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. Its average fee ranks 25 of 28 K00 codes billed NU (family range $19.23–$2,627.69); rural fees run 4% higher.

Code details

2026 Medicare DMEPOS fee schedule for K0056

How the K0056 fee compares

NCCI unit limits (MUE)

What changed for K0056

• 2026-01-01: Average state fee (NU) rose 2.3%: $123.09 to $125.94
• 2026-01-01: Average state fee (RR) rose 2.3%: $12.32 to $12.60
• 2026-01-01: Average state fee (UE) rose 2.3%: $92.34 to $94.47
• 1994-01-01: K0056 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 K0056?

K0056 is the HCPCS Level II code for seat height less than 17" or equal to or greater than 21" for a high strength, lightweight, or ultralightweight wheelchair. Short descriptor: "Seat ht <17 or >=21 ltwt wc".

How much does Medicare pay for K0056?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $133.23–$162.64; NU (new equipment, purchased): $108.75–$147.27; RR (rental (monthly)): $13.34–$16.27; RR (rental (monthly)): $10.88–$14.72; UE (used equipment, purchased): $81.57–$110.44; UE (used equipment, purchased): $100.00–$121.97. Rural fees can be higher.

Does Medicare cover K0056?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for K0056 change in 2026?

The average non-rural state fee for NU moved from $123.09 in 2025 to $125.94 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0056 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)
• 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)
• K0012 — Lightweight portable motorized/power wheelchair ($393.59–$543.05)

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Next steps

• Run a reimbursement report for a device billed under K0056
• Watch K0056 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for K0056

Sources: CMS HCPCS Level II release October 2025; 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.

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