HCPCS Level II K0827: Power wheelchair, group 2 very heavy duty, captain's chair

HCPCS Level II code K0827 describes a power wheelchair, group 2 very heavy duty, captain's chair designed for patients with a weight capacity of 451 to 600 pounds; this item is a durable medical equipment mobility device intended for power mobility use and is typically supplied for home or other ambulatory settings where a heavy-duty powered wheelchair is required.

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HCPCS Level II K0827: Power wheelchair, group 2 very heavy duty, captain's chair

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Get alerted when payer policies referencing K0827 are released or updated.

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Clinical & Coding Specifications

Clinical Context

A common scenario involves an adult patient with morbid obesity and limited mobility due to severe osteoarthritis and chronic lower-extremity weakness who requires a power wheelchair with very heavy-duty capacity. The durable medical equipment (DME) supplier receives a prescription from a physician (typically a physiatrist, orthopedic surgeon, or primary care physician) specifying a power wheelchair, group 2 very heavy duty, captain's chair, with patient weight capacity of 451 to 600 pounds (K0827).

The clinical workflow begins with a face-to-face evaluation by a qualified clinician documenting functional limitations, mobility needs, home environment, and measurements supporting the need for a bariatric power wheelchair. The clinician documents activities of daily living (ADLs) impairments (for example, inability to ambulate household distances, transfer limitations), and the necessity for a powered mobility device rather than a manual wheelchair. The supplier conducts a home assessment if required, configures seat and controls (captain's chair, seating depth/width, weight capacity 451–600 lb), and obtains any needed prior authorization from payors. Delivery includes user training, a demonstration of controls, and setup for safe transfers. Follow-up visits address repairs, adjustments, or documentation for medical necessity renewal. Typical sites of service are the DME supplier location, the patient’s home for delivery and setup, and outpatient clinics for the prescribing evaluation.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97542`	Wheelchair management (e.g., assessment, fitting, training)	Performed by occupational or physical therapists to assess seating, positioning, and train the patient on power wheelchair use prior to delivery.
`97001`	Physical therapy evaluation	Initial evaluation by a physical therapist to document mobility deficits supporting the need for powered mobility.
`99213`	Office or other outpatient visit for an established patient, moderate complexity	Used by the physician during the face-to-face evaluation documenting medical necessity for the power wheelchair prescription.
`99406`	Smoking and tobacco use cessation counseling visit, intermediate	Example of co-managed counseling services sometimes billed during clinic evaluation; not routinely linked but included when relevant to overall medical management.
`A9270`	Non-covered item or service (for DME tracking)	May be used for reporting non-covered accessories or features separate from the primary HCPCS; use per payer guidance.

Related Modifiers

7 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
208000000X	Pediatrics Physician	A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
193200000X	Multi-Specialty Group	A business group of one or more individual practitioners, who practice with different areas of specialization.
207YS0012X	Sleep Medicine (Otolaryngology) Physician	An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physio…
225800000X	Recreation Therapist	A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in…
106H00000X	Marriage & Family Therapist	A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related menta…
2086H0002X	Hospice and Palliative Medicine (Surgery) Physician	A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist…
2083P0901X	Public Health & General Preventive Medicine Physician	Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined popu…

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
E11.65	Type 2 diabetes mellitus with hyperglycemia
E11.9	Type 2 diabetes mellitus without complications
G12.21	Amyotrophic lateral sclerosis
G12.22	Progressive bulbar palsy
G80.9	Cerebral palsy, unspecified
G82.20	Paraplegia, unspecified
G82.50	Quadriplegia, unspecified
I69.391	Dysphagia following cerebral infarction
I69.398	Other sequelae of cerebral infarction
M16.11	Unilateral primary osteoarthritis, right hip

Showing 1–10 of 25

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

HCPCS K0001: Standard Wheelchair

HCPCS-K0002-STANDARD-HEMI-LOW-SEAT-WHEELCHAIR

HCPCS K0002: Standard Hemi (Low Seat) Wheelchair

HCPCS-K0003-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0003: Lightweight Wheelchair

HCPCS-K0004-HIGH-STRENGTH-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0004: High Strength, Lightweight Wheelchair

HCPCS-K0005-ULTRALIGHTWEIGHT-WHEELCHAIR

HCPCS Level II K0005: Ultralightweight Wheelchair

HCPCS-K0006-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS-K0007-EXTRA-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0007: Extra Heavy Duty Wheelchair

HCPCS-K0008-CUSTOM-MANUAL-WHEELCHAIR

HCPCS K0008: Custom Manual Wheelchair/Base

HCPCS-K0009-OTHER-MANUAL-WHEELCHAIR-BASE

HCPCS K0009: Other Manual Wheelchair/Base

HCPCS-K0010-STANDARD-WEIGHT-FRAME-POWER-WHEELCHAIR

HCPCS K0010: Standard Weight Frame Motorized/Power Wheelchair

Showing 1–10 of 135

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97542`	Wheelchair management (e.g., assessment, fitting, training)	Performed by occupational or physical therapists to assess seating, positioning, and train the patient on power wheelchair use prior to delivery.
`97001`	Physical therapy evaluation	Initial evaluation by a physical therapist to document mobility deficits supporting the need for powered mobility.
`99213`	Office or other outpatient visit for an established patient, moderate complexity	Used by the physician during the face-to-face evaluation documenting medical necessity for the power wheelchair prescription.
`99406`	Smoking and tobacco use cessation counseling visit, intermediate	Example of co-managed counseling services sometimes billed during clinic evaluation; not routinely linked but included when relevant to overall medical management.
`A9270`	Non-covered item or service (for DME tracking)	May be used for reporting non-covered accessories or features separate from the primary HCPCS; use per payer guidance.

Related Modifiers

7 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
208000000X	Pediatrics Physician	A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
193200000X	Multi-Specialty Group	A business group of one or more individual practitioners, who practice with different areas of specialization.
207YS0012X	Sleep Medicine (Otolaryngology) Physician	An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physio…
225800000X	Recreation Therapist	A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in…
106H00000X	Marriage & Family Therapist	A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related menta…
2086H0002X	Hospice and Palliative Medicine (Surgery) Physician	A surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist…
2083P0901X	Public Health & General Preventive Medicine Physician	Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined popu…

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
E11.65	Type 2 diabetes mellitus with hyperglycemia
E11.9	Type 2 diabetes mellitus without complications
G12.21	Amyotrophic lateral sclerosis
G12.22	Progressive bulbar palsy
G80.9	Cerebral palsy, unspecified
G82.20	Paraplegia, unspecified
G82.50	Quadriplegia, unspecified
I69.391	Dysphagia following cerebral infarction
I69.398	Other sequelae of cerebral infarction
M16.11	Unilateral primary osteoarthritis, right hip

Showing 1–10 of 25

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

HCPCS K0001: Standard Wheelchair

HCPCS-K0002-STANDARD-HEMI-LOW-SEAT-WHEELCHAIR

HCPCS K0002: Standard Hemi (Low Seat) Wheelchair

HCPCS-K0003-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0003: Lightweight Wheelchair

HCPCS-K0004-HIGH-STRENGTH-LIGHTWEIGHT-WHEELCHAIR

HCPCS K0004: High Strength, Lightweight Wheelchair

HCPCS-K0005-ULTRALIGHTWEIGHT-WHEELCHAIR

HCPCS Level II K0005: Ultralightweight Wheelchair

HCPCS-K0006-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0006: Heavy Duty Wheelchair

HCPCS-K0007-EXTRA-HEAVY-DUTY-WHEELCHAIR

HCPCS Level II K0007: Extra Heavy Duty Wheelchair

HCPCS-K0008-CUSTOM-MANUAL-WHEELCHAIR

HCPCS K0008: Custom Manual Wheelchair/Base

HCPCS-K0009-OTHER-MANUAL-WHEELCHAIR-BASE

HCPCS K0009: Other Manual Wheelchair/Base

HCPCS-K0010-STANDARD-WEIGHT-FRAME-POWER-WHEELCHAIR

HCPCS K0010: Standard Weight Frame Motorized/Power Wheelchair

Showing 1–10 of 135

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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OpenPayer

HCPCS Level II K0827: Power wheelchair, group 2 very heavy duty, captain's chair

Sign up for hcpcs K0827 policy alerts

OpenPayer

HCPCS Level II K0827: Power wheelchair, group 2 very heavy duty, captain's chair

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

HCPCS Level II K0827: Power wheelchair, group 2 very heavy duty, captain's chair

Sign up for hcpcs K0827 policy alerts

HCPCS Level II K0827: Power wheelchair, group 2 very heavy duty, captain's chair

Sign up for hcpcs K0827 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What does HCPCS code K0827 represent?

What clinical and supplier steps are involved when prescribing and providing a K0827 power wheelchair?

Which diagnoses or clinical scenarios are commonly associated with K0827?

What related CPT/HCPCS codes are commonly associated with the K0827 workflow?

Which payers and payer processes are mentioned for K0827?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What does HCPCS code K0827 represent?

What clinical and supplier steps are involved when prescribing and providing a K0827 power wheelchair?

Which diagnoses or clinical scenarios are commonly associated with K0827?

What related CPT/HCPCS codes are commonly associated with the K0827 workflow?

Which payers and payer processes are mentioned for K0827?

References