Summary & Overview
HCPCS K0814: Power Wheelchair, Group 1 Portable Captain's Chair 300 lb
HCPCS Level II code K0814 denotes a Group 1 standard power wheelchair that is portable, configured with a captain's chair, and rated for patients weighing up to and including 300 pounds. Nationally, this code matters because it identifies a common class of durable medical equipment (DME) used to support mobility, independence, and activities of daily living for individuals with mobility impairments.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find an overview of clinical context for mobility devices, typical sites of service (home and community), and the practical role of K0814 in care plans. The publication also summarizes benchmarks and coverage considerations, outlines common billing modifiers used with HCPCS Level II codes, and highlights policy updates or payer coverage patterns that affect authorization, documentation, and durable medical equipment supply.
The report is intended to help billing managers, DME suppliers, and clinicians quickly understand the purpose and billing context for K0814, the administrative considerations related to power wheelchair provision, and where to look for payer-specific rules and documentation requirements.
Billing Code Overview
HCPCS Level II code K0814 describes a power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds. This item is a motorized mobility device intended to provide seated mobility for patients who require powered ambulation support.
Service type: Durable Medical Equipment (power mobility device)
Typical site of service: Home or community settings (durable medical equipment used in the patient's residence or for community mobility)
Clinical & Coding Specifications
Clinical Context
A 72-year-old male with progressive Parkinson disease and postural instability presents for durable medical equipment evaluation due to frequent falls and severe gait impairment. He has intact cognition but limited endurance and requires a mobility device for community ambulation and safe transfers. An occupational therapist completes a mobility assessment, documents the need for a power wheelchair with a captain's chair to provide trunk support and pressure relief, and records patient weight at 295 pounds which fits the device weight capacity. The durable medical equipment supplier verifies Medicare and commercial payer coverage, collects the treating physician's written order and supporting documentation (history, physical, objective mobility assessment, trial of alternatives such as cane/walker or manual wheelchair), and arranges delivery and training in the outpatient clinic or patient home. Typical site of service is outpatient durable medical equipment vendor location, outpatient clinic, or patient home for delivery and training. Billing uses the HCPCS Level II code K0814 for a group 1 standard portable power wheelchair with captain's chair and patient weight capacity up to and including 300 pounds.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no specific modifier applies to the claim |