K0868 — Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0868 is a HCPCS Level II code for power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds. It belongs to the Durable Medical Equipment (DME MAC Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of K0868 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for K0868
- Long descriptor
- Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- Short descriptor
- Pwc gp 4 std seat/back
- Added
- October 1, 2006
- BETOS
- D1D
- Pricing indicator
- 36 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to K0868
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If K0868 is not quite right, the correct code is very often within a few positions of it.
- K0857Power wheelchair, group 3 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
- K0858Power wheelchair, group 3 heavy duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds
- K0859Power wheelchair, group 3 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
- K0860Power wheelchair, group 3 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
- K0861Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- K0862Power wheelchair, group 3 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
- K0863Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
- K0864Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more
- K0869Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds
- K0870Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
- K0871Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
- K0877Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- K0878Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
- K0879Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
- K0880Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 pounds
- K0884Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Questions about K0868
What is HCPCS code K0868?
K0868 is a HCPCS Level II code for power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds. It sits in the Durable Medical Equipment (DME MAC Temporary) section.
Does Medicare cover K0868?
The CMS HCPCS file marks K0868 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.