Summary & Overview
HCPCS K0806: Power Operated Vehicle, Group 2 Standard (≤300 lb)
HCPCS Level II code K0806 covers a power-operated vehicle, group 2 standard, with a patient weight capacity up to and including 300 pounds. This HCPCS classification identifies a common category of durable medical equipment (DME) that supports mobility and independence for individuals with mobility impairments. Nationally, coverage and utilization of group 2 power wheelchairs have implications for access to mobility devices, outpatient DME workflows, and durable medical equipment supply chains.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what K0806 represents, payer coverage considerations, and how this code fits into DME service lines. The publication provides benchmarks where available, summarizes relevant policy and coverage trends affecting power-operated vehicle claims, and offers clinical context on typical indications and sites of service for group 2 standard power wheelchairs.
This summary is intended to help billing managers, compliance officers, and policy analysts quickly understand the code's purpose, common payer interactions, and the operational settings in which K0806 is used. Data not available in the input is noted where applicable in the full publication.
Billing Code Overview
HCPCS Level II code K0806 describes a power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds. This equipment classification denotes a battery-powered mobility device intended for individuals who require a robust standard-power wheelchair to support mobility needs within that weight limit.
Service type: Durable Medical Equipment (DME)
Typical site of service: Outpatient settings, home use, and community mobility environments. These devices are supplied by DME vendors and are commonly used in the patient's residence, for travel in public spaces, and for community mobility needs.
Clinical & Coding Specifications
Clinical Context
A 72-year-old male with advanced osteoarthritis of the knees and limited ambulatory endurance is evaluated by a durable medical equipment (DME) supplier following a clinician order for mobility assistance. The patient weighs 290 pounds and has progressive balance impairment, decreased gait speed, and recurrent near-falls that limit community ambulation and activities of daily living. A physician or licensed clinician documents medical necessity for a powered mobility device due to inability to safely and reliably use a cane, walker, or manual wheelchair for community mobility.
The clinical workflow includes a comprehensive assessment by the ordering clinician (history, physical exam, functional mobility assessment), completion of a face-to-face or documented evaluation showing need for a power-operated vehicle, an order specifying K0806 (power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds), selection and trial of an appropriate Group 2 POV by the DME supplier, delivery with training and setup, and documentation of beneficiary instruction and follow-up plans. Typical sites of service include outpatient DME supplier facilities, outpatient clinics, rehabilitation centers, and patient residences for delivery and training.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier |