K0831 HCPCS code: Power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds
K0831 is the HCPCS Level II code for power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds. In 2024 Medicare paid an average of $335.20 per service for K0831 across 3,861 services. 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 3014% from 2023 to 2024 (124 to 3,861 services). In 2024, 293 suppliers billed Medicare for K0831 (rentals), serving 755 beneficiaries; Florida, Texas, Oklahoma accounted for 21% of services.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 2006-10-01 |
| Last action effective | 2006-10-01 |
Who bills K0831 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 293 |
| Suppliers billing purchases | — |
| Referring clinicians | 691 |
| Medicare beneficiaries | 755 |
| States with claims | 43 |
| Share of services in top 3 states (Florida, Texas, Oklahoma) | 21% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2023 | 47 | 59 |
| 2024 | 293 | 755 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for K0831, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 124 | 59 | $636.51 | $499.02 |
| 2024 | 3,861 | 755 | $430.08 | $335.20 |
States with the most K0831 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 279 | $346.00 |
| Texas | 265 | $324.73 |
| Oklahoma | 256 | $340.30 |
| Virginia | 239 | $329.01 |
| Washington | 181 | $357.99 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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 K0831
- 2006-10-01: K0831 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 K0831?
K0831 is the HCPCS Level II code for power wheelchair, group 2 standard, seat elevator, captains chair, patient weight capacity up to and including 300 pounds. Short descriptor: "Pwc gp2 std seat elevate cap".
How much does Medicare pay for K0831?
In 2024, the average Medicare payment was $335.20 per service (average allowed $430.08).
Does Medicare cover K0831?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of K0831 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)
- K0801 — Power operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds ($181.46–$2,441.80)
- 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)
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
- Run a reimbursement report for a device billed under K0831
- Watch K0831 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0831
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; 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.