K0862 HCPCS code: Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

K0862 is the HCPCS Level II code for power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 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 rose 7% from 2022 to 2024 (624 to 667 services). In 2024, 325 suppliers billed Medicare for K0862 (purchases), serving 646 beneficiaries; California, Texas, Nevada accounted for 27% of services. Its average fee ranks 39 of 46 K08 codes billed RR (family range $105.43–$2,208.58).

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 K0862

ModifierMeaningLowest state feeHighest state feeCeilingFloor
RRrental (monthly)$1,296.66$1,426.39$1,296.66$1,102.16
StateModifierFeeRural fee
AKRR$1,296.66—
ALRR$1,296.66—
ARRR$1,296.66—
AZRR$1,296.66—
CARR$1,296.66—
CORR$1,296.66—
CTRR$1,296.66—
DCRR$1,296.66—
DERR$1,296.66—
FLRR$1,296.66—
GARR$1,296.66—
HIRR$1,296.66—
IARR$1,296.66—
IDRR$1,296.66—
ILRR$1,296.66—
INRR$1,296.66—
KSRR$1,296.66—
KYRR$1,296.66—
LARR$1,296.66—
MARR$1,296.66—
MDRR$1,296.66—
MERR$1,296.66—
MIRR$1,296.66—
MNRR$1,296.66—
MORR$1,296.66—
MSRR$1,296.66—
MTRR$1,296.66—
NCRR$1,296.66—
NDRR$1,296.66—
NERR$1,296.66—
NHRR$1,296.66—
NJRR$1,296.66—
NMRR$1,296.66—
NVRR$1,296.66—
NYRR$1,296.66—
OHRR$1,296.66—
OKRR$1,296.66—
ORRR$1,296.66—
PARR$1,296.66—
PRRR$1,426.39—
RIRR$1,296.66—
SCRR$1,296.66—
SDRR$1,296.66—
TNRR$1,296.66—
TXRR$1,296.66—
UTRR$1,296.66—
VARR$1,296.66—
VIRR$1,296.66—
VTRR$1,296.66—
WARR$1,296.66—
WIRR$1,296.66—
WVRR$1,296.66—
WYRR$1,296.66—

How the K0862 fee compares

MeasureValue
Rank among 46 K08 codes billed RR (lowest = 1)39
Family fee range (average of state fees)$105.43–$2,208.58
Rural fee uplift—

Who bills K0862 (2024)

MeasureValue
Suppliers billing rentals3
Suppliers billing purchases325
Referring clinicians585
Medicare beneficiaries646
States with claims23
Share of services in top 3 states (California, Texas, Nevada)27%
YearSuppliersBeneficiaries
2022297599
2023309603
2024325646

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

Medicare utilization for K0862, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
2022624599$7,065.15$5,524.29
2023662603$7,269.26$5,610.28
2024667646$7,979.55$6,181.80

States with the most K0862 services (2024)

StateServicesAvg. paid
California55$6,422.10
Texas45$6,352.95
Nevada41$6,456.53
Illinois31$6,083.09
Florida30$6,432.66

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers1Code Descriptor / CPT Instruction

Medicare policy articles for this code

What changed for K0862

Frequently asked questions

What is HCPCS code K0862?

K0862 is the HCPCS Level II code for power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds. Short descriptor: "Pwc gp3 hd mult pow opt s/b".

How much does Medicare pay for K0862?

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 K0862?

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

Did the Medicare fee for K0862 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 K0862 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 2026; 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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