K0854 HCPCS code: Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more

K0854 is the HCPCS Level II code for power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more. The 2026 Medicare DMEPOS fee schedule pays $1,775.89 to $1,953.49 (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. Its average fee ranks 43 of 46 K08 codes billed RR (family range $105.43–$2,208.58).

Code details

2026 Medicare DMEPOS fee schedule for K0854

How the K0854 fee compares

NCCI unit limits (MUE)

What changed for K0854

• 2026-01-01: Average state fee (RR) rose 2.0%: $1,744.36 to $1,779.24
• 2006-10-01: K0854 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 K0854?

K0854 is the HCPCS Level II code for power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more. Short descriptor: "Pwc gp 3 xhd seat/back".

How much does Medicare pay for K0854?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,775.89–$1,953.49. Rural fees can be higher.

Does Medicare cover K0854?

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

Did the Medicare fee for K0854 change in 2026?

The average non-rural state fee for RR moved from $1,744.36 in 2025 to $1,779.24 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0854 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)

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Next steps

• Run a reimbursement report for a device billed under K0854
• Watch K0854 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for K0854

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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