Power wheelchairs that require prior authorization

Starting September 1, 2018, these 33 types of power wheelchairs require “prior authorization” before 

Medicare

 will pay for them:

 

Power wheelchair (sling/solid seat/back)
Model Group Type Weight capacity (up to and including pounds)

K0813

1 standard

Sling/solid seat and back

300

K0815

1 standard

Sling/solid seat and back

300

K0820

2 standard

Sling/solid seat/back

300

K0822

2 standard

Sling/solid seat/back

300

K0824

2 heavy duty

Sling/solid seat/back

301 to 450

K0826

2 very heavy duty

Sling/solid seat/back

451 to 600

K0828

2 extra heavy duty

Sling/solid seat/back

601 or more

K0835

2 standard

Sling/solid seat/back

300

K0837

2 heavy duty

Sling/solid seat/back

301 to 450

K0839

2 very heavy duty

Sling/solid seat/back

451 to 600

K0840

2 extra heavy duty

Sling/solid seat/back

601 or more

K0841

2 standard

Sling/solid seat/back

300

K0843

2 heavy duty

Sling/solid seat/back

301 to 450

K0848

3 standard

Sling/solid seat/back

300

K0850

3 heavy duty

Sling/solid seat/back

301 to 450

K0852

3 very heavy duty

Sling/solid seat/back

451 to 600

K0854

3 extra heavy duty

Sling/solid seat/back

601 or more

K0856

3 standard

Sling/solid seat/back

300

K0861

3 standard

Sling/solid seat/back

300

  

Power wheelchair (captains chair)
Model Group Type Weight capacity (up to and including pounds)

K0814

1 standard

Portable

300

K0816

1 standard

Not portable

300

K0821

2 standard

Portable

300

K0823

2 standard

Not portable

300

K0825

2 heavy duty

Not portable

301 to 450

K0827

2 very heavy duty

Not portable

451 to 600

K0829

2 extra heavy duty

Not portable

601 or more

K0836

2 standard

Not portable

300

K0838

2 heavy duty

Not portable

301 to 450

K0842

2 standard

Not portable

300

K0849

3 standard

Not portable

300

K0851

3 heavy duty

Not portable

301 to 450

K0853

3 very heavy duty

Not portable

451 to 600

K0855

3 extra heavy duty

Not portable

601 or more

Get more information about power mobility devices.