K0863 HCPCS code: Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

K0863 is the HCPCS Level II code for power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds. The 2026 Medicare DMEPOS fee schedule pays $1,852.46 to $2,037.75 (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 45 of 46 K08 codes billed RR (family range $105.43–$2,208.58).

Code details

2026 Medicare DMEPOS fee schedule for K0863

How the K0863 fee compares

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 K0863

• 2026-01-01: Average state fee (RR) rose 2.0%: $1,819.57 to $1,855.96
• 2006-10-01: K0863 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 K0863?

K0863 is the HCPCS Level II code for power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds. Short descriptor: "Pwc gp3 vhd mult pow opt s/b".

How much does Medicare pay for K0863?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,852.46–$2,037.75. Rural fees can be higher.

Does Medicare cover K0863?

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

Did the Medicare fee for K0863 change in 2026?

The average non-rural state fee for RR moved from $1,819.57 in 2025 to $1,855.96 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0863 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 K0863
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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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