These types of power wheelchairs require “prior authorization” before Medicare will pay for them:
| Power wheelchair (sling/solid seat/back) | |||
|---|---|---|---|
| Model | Group | Type | Weight capacity in 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 |
| K0858 | 3 heavy duty | Sling/solid seat/back | 301 to 450 |
| K0860 | 3 very heavy duty | Sling/solid seat/back | 451 to 600 |
|
K0861 |
3 standard |
Sling/solid seat/back |
300 |
| K0862 | 3 heavy duty | Sling/solid seat/back | 301 to 450 |
| K0863 | 3 very heavy duty | Sling/solid seat/back | 451 to 600 |
| K0864 | 3 extra heavy duty | Sling/solid seat/back | 601 or more |
| Power wheelchair (captains chair) | |||
|---|---|---|---|
| Model | Group | Type | Weight capacity in 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 |
| K0857 | 3 standard | Not portable | 300 |
| K0859 | 3 heavy duty | Not portable | 301 to 450 |
| Power Operated Vehicles | ||
|---|---|---|
| Model | Group | Weight capacity in pounds |
|
K0800 |
1 standard |
300 |
|
K0801 |
1 heavy duty |
301 to 450 |
|
K0802 |
1 very heavy duty |
451 to 600 |
|
K0806 |
2 standard |
300 |
|
K0807 |
2 heavy duty |
301 to 450 |
|
K0808 |
2 very heavy duty |
End of Translation 
451 to 600 |
Get more information about power mobility devices.