K0820 HCPCS code: Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds

K0820 is the HCPCS Level II code for power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds. The 2026 Medicare DMEPOS fee schedule pays $317.50 to $467.11 (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. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume fell 43% from 2022 to 2023 (84 to 48 services). In 2023, 5 suppliers billed Medicare for K0820 (rentals), serving 0 beneficiaries. Its average fee ranks 7 of 46 K08 codes billed RR (family range $105.43–$2,208.58); rural fees run 23% higher.

Code details

FieldValue
SectionK codes — Temporary codes for DME MACs
Coverage codeC — Carrier judgment
Pricing indicator36 — DMEPOS: capped rental item
BETOS categoryD1D — Wheelchairs
Added2006-10-01
Last action effective2006-10-01

2026 Medicare DMEPOS fee schedule for K0820

ModifierMeaningLowest state feeHighest state feeCeilingFloor
RRrental (monthly)$317.50$467.11——
StateModifierFeeRural fee
AKRR$443.39—
ALRR$328.99$420.09
ARRR$328.99$420.09
AZRR$336.59$420.09
CARR$326.13$420.09
CORR$337.43$420.09
CTRR$325.40$420.09
DCRR$317.50$420.09
DERR$317.50$420.09
FLRR$328.99$420.09
GARR$328.99$420.09
HIRR$443.39—
IARR$353.94$420.09
IDRR$337.43$420.09
ILRR$331.51$420.09
INRR$331.51$420.09
KSRR$353.94$420.09
KYRR$328.99$420.09
LARR$328.99$420.09
MARR$325.40$420.09
MDRR$317.50$420.09
MERR$325.40$420.09
MIRR$331.51$420.09
MNRR$353.94$420.09
MORR$353.94$420.09
MSRR$328.99$420.09
MTRR$337.43$420.09
NCRR$328.99$420.09
NDRR$353.94$420.09
NERR$353.94$420.09
NHRR$325.40$420.09
NJRR$317.50$420.09
NMRR$336.59$420.09
NVRR$326.13$420.09
NYRR$317.50$420.09
OHRR$331.51$420.09
OKRR$336.59$420.09
ORRR$326.13$420.09
PARR$317.50$420.09
PRRR$467.11—
RIRR$325.40$420.09
SCRR$328.99$420.09
SDRR$353.94$420.09
TNRR$328.99$420.09
TXRR$336.59$420.09
UTRR$337.43$420.09
VARR$328.99$420.09
VIRR$443.39—
VTRR$325.40$420.09
WARR$326.13$420.09
WIRR$331.51$420.09
WVRR$328.99$420.09
WYRR$337.43$420.09

How the K0820 fee compares

MeasureValue
Rank among 46 K08 codes billed RR (lowest = 1)7
Family fee range (average of state fees)$105.43–$2,208.58
Rural fee uplift23.2%

Who bills K0820 (2023)

MeasureValue
Suppliers billing rentals5
Suppliers billing purchases—
Referring clinicians8
Medicare beneficiaries0
States with claims2
YearSuppliersBeneficiaries
2022812
202350

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

Medicare utilization for K0820, 2022–2023

YearServicesBeneficiariesAvg. allowedAvg. paid
20228412$172.34$132.56
2023480$151.43$100.62

States with the most K0820 services (2023)

StateServicesAvg. paid
Massachusetts19$102.38
Pennsylvania13$104.23

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers1Code Descriptor / CPT Instruction

Medicare policy articles for this code

What changed for K0820

Frequently asked questions

What is HCPCS code K0820?

K0820 is the HCPCS Level II code for power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds. Short descriptor: "Pwc gp 2 std port seat/back".

How much does Medicare pay for K0820?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $317.50–$467.11. Rural fees can be higher.

Does Medicare cover K0820?

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

Did the Medicare fee for K0820 change in 2026?

The average non-rural state fee for RR moved from $332.21 in 2025 to $341.05 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0820 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related K08 codes

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

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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