K0861 HCPCS code: Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0861 is the HCPCS Level II code for power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds. The 2026 Medicare DMEPOS fee schedule pays $1,046.78 to $1,151.47 (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 30 of 46 K08 codes billed RR (family range $105.43–$2,208.58).
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 |
2026 Medicare DMEPOS fee schedule for K0861
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $1,046.78 | $1,151.47 | $1,046.78 | $889.76 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $1,046.78 | — |
| AL | RR | $1,046.78 | — |
| AR | RR | $1,046.78 | — |
| AZ | RR | $1,046.78 | — |
| CA | RR | $1,046.78 | — |
| CO | RR | $1,046.78 | — |
| CT | RR | $1,046.78 | — |
| DC | RR | $1,046.78 | — |
| DE | RR | $1,046.78 | — |
| FL | RR | $1,046.78 | — |
| GA | RR | $1,046.78 | — |
| HI | RR | $1,046.78 | — |
| IA | RR | $1,046.78 | — |
| ID | RR | $1,046.78 | — |
| IL | RR | $1,046.78 | — |
| IN | RR | $1,046.78 | — |
| KS | RR | $1,046.78 | — |
| KY | RR | $1,046.78 | — |
| LA | RR | $1,046.78 | — |
| MA | RR | $1,046.78 | — |
| MD | RR | $1,046.78 | — |
| ME | RR | $1,046.78 | — |
| MI | RR | $1,046.78 | — |
| MN | RR | $1,046.78 | — |
| MO | RR | $1,046.78 | — |
| MS | RR | $1,046.78 | — |
| MT | RR | $1,046.78 | — |
| NC | RR | $1,046.78 | — |
| ND | RR | $1,046.78 | — |
| NE | RR | $1,046.78 | — |
| NH | RR | $1,046.78 | — |
| NJ | RR | $1,046.78 | — |
| NM | RR | $1,046.78 | — |
| NV | RR | $1,046.78 | — |
| NY | RR | $1,046.78 | — |
| OH | RR | $1,046.78 | — |
| OK | RR | $1,046.78 | — |
| OR | RR | $1,046.78 | — |
| PA | RR | $1,046.78 | — |
| PR | RR | $1,151.47 | — |
| RI | RR | $1,046.78 | — |
| SC | RR | $1,046.78 | — |
| SD | RR | $1,046.78 | — |
| TN | RR | $1,046.78 | — |
| TX | RR | $1,046.78 | — |
| UT | RR | $1,046.78 | — |
| VA | RR | $1,046.78 | — |
| VI | RR | $1,046.78 | — |
| VT | RR | $1,046.78 | — |
| WA | RR | $1,046.78 | — |
| WI | RR | $1,046.78 | — |
| WV | RR | $1,046.78 | — |
| WY | RR | $1,046.78 | — |
How the K0861 fee compares
| Measure | Value |
|---|---|
| Rank among 46 K08 codes billed RR (lowest = 1) | 30 |
| Family fee range (average of state fees) | $105.43–$2,208.58 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for K0861
- 2026-01-01: Average state fee (RR) rose 2.0%: $1,028.19 to $1,048.76
- 2006-10-01: K0861 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 K0861?
K0861 is the HCPCS Level II code for power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds. Short descriptor: "Pwc gp3 std mult pow opt s/b".
How much does Medicare pay for K0861?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,046.78–$1,151.47. Rural fees can be higher.
Does Medicare cover K0861?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for K0861 change in 2026?
The average non-rural state fee for RR moved from $1,028.19 in 2025 to $1,048.76 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K0861 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 K0861
- Watch K0861 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0861
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.