K0801 HCPCS code: Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds

K0801 is the HCPCS Level II code for power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds. The 2026 Medicare DMEPOS fee schedule pays $1,814.61 to $2,441.80 (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 fell 21% from 2022 to 2024 (549 to 435 services). In 2024, 181 suppliers billed Medicare for K0801 (purchases), serving 369 beneficiaries; Illinois, Florida, California accounted for 36% of services. Its average fee ranks 3 of 6 K08 codes billed NU (family range $1,054.30–$4,205.96); rural fees run 21% higher.

Code details

2026 Medicare DMEPOS fee schedule for K0801

How the K0801 fee compares

Who bills K0801 (2024)

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

Medicare utilization for K0801, 2022–2024

States with the most K0801 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52498: Power Mobility Devices - 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 K0801

• 2026-01-01: Average state fee (NU) rose 2.7%: $1,865.06 to $1,914.74
• 2026-01-01: Average state fee (RR) rose 2.7%: $186.51 to $191.47
• 2026-01-01: Average state fee (UE) rose 2.7%: $1,398.80 to $1,436.05
• 2006-10-01: K0801 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 K0801?

K0801 is the HCPCS Level II code for power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds. Short descriptor: "Pov group 1 hd 301-450 lbs".

How much does Medicare pay for K0801?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $1,814.61–$2,441.80; RR (rental (monthly)): $181.46–$244.18; UE (used equipment, purchased): $1,360.96–$1,831.34. Rural fees can be higher.

Does Medicare cover K0801?

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

Did the Medicare fee for K0801 change in 2026?

The average non-rural state fee for NU moved from $1,865.06 in 2025 to $1,914.74 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0801 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related K08 codes

• K0800 — Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds ($100.07–$1,438.64)
• K0802 — Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds ($241.46–$2,971.04)
• K0806 — Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds ($174.88–$1,930.97)
• K0807 — Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds ($271.02–$2,958.32)
• K0808 — Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds ($418.96–$4,575.25)
• K0812 — Power operated vehicle, not otherwise classified
• K0813 — Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds ($312.68–$422.33)
• K0814 — Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ($321.31–$496.89)
• K0815 — Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds ($350.06–$559.30)
• K0816 — Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds ($327.71–$529.49)
• K0820 — Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds ($317.50–$467.11)
• K0821 — Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds ($328.10–$523.73)

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Next steps

• Run a reimbursement report for a device billed under K0801
• Watch K0801 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for K0801

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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