K0821 HCPCS code: Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds

K0821 is the HCPCS Level II code for power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds. The 2026 Medicare DMEPOS fee schedule pays $328.10 to $523.73 (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 rose 47% from 2022 to 2024 (14,983 to 21,960 services). In 2024, 495 suppliers billed Medicare for K0821 (rentals), serving 3,903 beneficiaries; Texas, Pennsylvania, Virginia accounted for 20% of services. Its average fee ranks 10 of 46 K08 codes billed RR (family range $105.43–$2,208.58); rural fees run 39% 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 K0821

ModifierMeaningLowest state feeHighest state feeCeilingFloor
RRrental (monthly)$328.10$523.73——
StateModifierFeeRural fee
AKRR$493.28—
ALRR$350.14$493.28
ARRR$350.14$493.28
AZRR$346.05$493.28
CARR$342.91$493.28
CORR$342.07$493.28
CTRR$328.22$493.28
DCRR$328.10$493.28
DERR$328.10$493.28
FLRR$350.14$493.28
GARR$350.14$493.28
HIRR$493.28—
IARR$353.74$493.28
IDRR$342.07$493.28
ILRR$343.40$493.28
INRR$343.40$493.28
KSRR$353.74$493.28
KYRR$350.14$493.28
LARR$350.14$493.28
MARR$328.22$493.28
MDRR$328.10$493.28
MERR$328.22$493.28
MIRR$343.40$493.28
MNRR$353.74$493.28
MORR$353.74$493.28
MSRR$350.14$493.28
MTRR$342.07$493.28
NCRR$350.14$493.28
NDRR$353.74$493.28
NERR$353.74$493.28
NHRR$328.22$493.28
NJRR$328.10$493.28
NMRR$346.05$493.28
NVRR$342.91$493.28
NYRR$328.10$493.28
OHRR$343.40$493.28
OKRR$346.05$493.28
ORRR$342.91$493.28
PARR$328.10$493.28
PRRR$523.73—
RIRR$328.22$493.28
SCRR$350.14$493.28
SDRR$353.74$493.28
TNRR$350.14$493.28
TXRR$346.05$493.28
UTRR$342.07$493.28
VARR$350.14$493.28
VIRR$493.28—
VTRR$328.22$493.28
WARR$342.91$493.28
WIRR$343.40$493.28
WVRR$350.14$493.28
WYRR$342.07$493.28

How the K0821 fee compares

MeasureValue
Rank among 46 K08 codes billed RR (lowest = 1)10
Family fee range (average of state fees)$105.43–$2,208.58
Rural fee uplift39.0%

Who bills K0821 (2024)

MeasureValue
Suppliers billing rentals495
Suppliers billing purchases—
Referring clinicians3,443
Medicare beneficiaries3,903
States with claims49
Share of services in top 3 states (Texas, Pennsylvania, Virginia)20%
YearSuppliersBeneficiaries
20223152,506
20234042,677
20244953,903

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

Medicare utilization for K0821, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
202214,9832,506$189.46$142.52
202315,1552,677$217.90$164.77
202421,9603,903$221.19$167.81

States with the most K0821 services (2024)

StateServicesAvg. paid
Texas1,681$168.90
Pennsylvania1,366$149.48
Virginia1,338$151.67
California1,303$160.71
Nevada1,274$156.86

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers1Code Descriptor / CPT Instruction

Medicare policy articles for this code

What changed for K0821

Frequently asked questions

What is HCPCS code K0821?

K0821 is the HCPCS Level II code for power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds. Short descriptor: "Pwc gp 2 std port cap chair".

How much does Medicare pay for K0821?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $328.10–$523.73. Rural fees can be higher.

Does Medicare cover K0821?

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

Did the Medicare fee for K0821 change in 2026?

The average non-rural state fee for RR moved from $345.59 in 2025 to $354.76 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0821 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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