K0098 HCPCS code: Drive belt for power wheelchair, replacement only

K0098 is the HCPCS Level II code for drive belt for power wheelchair, replacement only. The 2026 Medicare DMEPOS fee schedule pays $27.08 to $38.40 (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 2 per day on DME suppliers. Medicare volume fell 7% from 2022 to 2024 (14 to 13 services). In 2024, 13 suppliers billed Medicare for K0098 (purchases), serving 13 beneficiaries. Its average fee ranks 6 of 28 K00 codes billed NU (family range $19.23–$2,627.69); rural fees run 7% higher.

Code details

2026 Medicare DMEPOS fee schedule for K0098

How the K0098 fee compares

Who bills K0098 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for K0098, 2022–2024

NCCI unit limits (MUE)

Medicare policy articles for this code

• 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 K0098

• 2026-01-01: Average state fee (NU) rose 2.3%: $30.71 to $31.42
• 2026-01-01: Average state fee (RR) rose 2.3%: $3.08 to $3.15
• 2026-01-01: Average state fee (UE) rose 2.3%: $23.03 to $23.56
• 1994-01-01: K0098 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 K0098?

K0098 is the HCPCS Level II code for drive belt for power wheelchair, replacement only. Short descriptor: "Drive belt for pwc, repl".

How much does Medicare pay for K0098?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $27.08–$38.40; NU (new equipment, purchased): $31.86–$38.90; RR (rental (monthly)): $2.71–$3.84; RR (rental (monthly)): $3.21–$3.89; UE (used equipment, purchased): $23.93–$29.21; UE (used equipment, purchased): $20.31–$28.82. Rural fees can be higher.

Does Medicare cover K0098?

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

Did the Medicare fee for K0098 change in 2026?

The average non-rural state fee for NU moved from $30.71 in 2025 to $31.42 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0098 can be billed per day?

2 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 K0098
• Watch K0098 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for K0098

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.

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