K0858 HCPCS code: Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

K0858 is the HCPCS Level II code for power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds. The 2026 Medicare DMEPOS fee schedule pays $1,296.66 to $1,426.39 (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 1% from 2022 to 2024 (91 to 90 services). In 2024, 61 suppliers billed Medicare for K0858 (purchases), serving 70 beneficiaries. Its average fee ranks 38 of 46 K08 codes billed RR (family range $105.43–$2,208.58).

Code details

2026 Medicare DMEPOS fee schedule for K0858

How the K0858 fee compares

Who bills K0858 (2024)

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

Medicare utilization for K0858, 2022–2024

States with the most K0858 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 K0858

• 2026-01-01: Average state fee (RR) rose 2.0%: $1,273.64 to $1,299.11
• 2006-10-01: K0858 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 K0858?

K0858 is the HCPCS Level II code for power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds. Short descriptor: "Pwc gp3 hd sing pow opt s/b".

How much does Medicare pay for K0858?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,296.66–$1,426.39. Rural fees can be higher.

Does Medicare cover K0858?

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

Did the Medicare fee for K0858 change in 2026?

The average non-rural state fee for RR moved from $1,273.64 in 2025 to $1,299.11 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0858 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 K0858
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• Build a full Medicare revenue model for K0858

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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