Summary & Overview
HCPCS K0822: Power Wheelchair Group 2, Sling/Solid Seat, Up to 300 lbs
HCPCS Level II code K0822 identifies a standard Group 2 power wheelchair with a sling or solid seat and back and a patient weight capacity up to and including 300 pounds. This code matters nationally as power mobility devices support functional independence for individuals with mobility impairments and represent a significant DME category for payers and providers given device costs, clinical eligibility criteria, and documentation requirements. Key payers assessed in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn the clinical and service context for K0822, typical sites of service where the device is supplied, and the payer landscape relevant to coverage processes. The publication provides benchmarks and comparative policy context where available, summarizes common billing modifiers and administrative considerations, and outlines clinical scenarios in which a Group 2 power wheelchair is commonly furnished. Data not available in the input is identified where applicable. This national-level summary is intended to inform coding, billing, and policy understanding for clinicians, durable medical equipment suppliers, and health plan administrators working with power mobility device claims.
Billing Code Overview
HCPCS Level II code K0822 describes a power wheelchair, Group 2 standard with a sling or solid seat and back, rated for a patient weight capacity up to and including 300 pounds. This item is a durable medical equipment (DME) mobility device intended to provide powered mobility for patients who require wheelchair assistance.
Service Type: Power mobility device (DME) — standard Group 2 power wheelchair
Typical Site of Service: Durable medical equipment suppliers, outpatient clinics, home settings, and long-term care facilities
Clinical & Coding Specifications
Clinical Context
A 68-year-old male with advanced Parkinson disease and progressive gait instability is evaluated for mobility equipment after repeated falls and inability to ambulate safely in his home. He has an established need for a durable medical power wheelchair to permit independent mobility, transfers with caregiver assistance, and safe community access. Mobility assessment by a physical therapist documents limited standing tolerance, poor dynamic balance, and upper-body strength sufficient to operate a power controller. The wheelchair ordered is a power wheelchair, group 2 standard, sling/solid seat/back with patient weight capacity up to and including 300 pounds (K0822).
The clinical workflow includes: a physician or advanced practice clinician documents the medical necessity and functional limitations; a physical or occupational therapist performs a mobility and seating assessment and documents required features; the supplier verifies payer coverage and collects relevant documentation (face-to-face notes, plan of care, medical records). The supplier delivers and trains the patient/caregiver on operation, seating, and safety. Regular follow-up and repairs are arranged through the durable medical equipment supplier.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Procedure or service carried out as planned | Standard code without special modifier when service is performed normally |