HCPCS Level II K0828: Power Wheelchair, Extra Heavy Duty 601+ lbs

HCPCS Level II code K0828 describes a power wheelchair, group 2 extra heavy duty with a sling or solid seat and back designed for a patient weight capacity of 601 pounds or more, intended as durable medical equipment for individuals requiring a high-capacity motorized mobility device; typical service type is power mobility device provision and the typical site of service is durable medical equipment suppliers, home medical equipment providers, or patient’s residence.

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HCPCS Level II K0828: Power Wheelchair, Extra Heavy Duty 601+ lbs

Customize your policy alerts

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Get alerted when payer policies referencing K0828 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A 68-year-old male with morbid obesity (body weight 680 pounds) and end-stage osteoarthritis of both knees presents to durable medical equipment (DME) services for evaluation of mobility needs. He is non-ambulatory at home, requires a power mobility device for transfers and community access, and has persistent pain limiting standing tolerance. The DME clinical workflow includes: a physician or qualified healthcare professional documents medical necessity and functional mobility assessment; completion of a detailed prescription specifying K0828 (power wheelchair, group 2 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more); verification of patient weight and dimensions; selection of appropriate seat and controls by a rehabilitation therapist or DME specialist; prior authorization submission to the payer with supporting documentation (office notes, signed face-to-face or telehealth evaluation, need for powered mobility for mobility limitation); delivery, setup, and patient training; and follow-up for device fit, pressure-relief needs, and any necessary adjustments or repairs. Typical sites of service include outpatient DME supplier locations, rehabilitation clinics, home health settings for delivery and training, and inpatient settings when discharge planning requires provision of a bariatric power wheelchair.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97535`	Self-care/home management training (e.g., activities of daily living and compensatory training) direct one-on-one patient, each 15 minutes.	Occupational therapy sessions to train the patient in power wheelchair use and ADL adaptations prior to or after device delivery.
`97112`	Therapeutic procedure; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for each 15 minutes.	Physical therapy interventions to improve safe use of a power wheelchair and transfers.
`97755`	Assistive technology assessment; each 15 minutes.	Comprehensive assessment and documentation of device needs, including seating and mobility evaluations supporting `K0828` prescription.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes.	Physician visit to document medical necessity and sign the prescription for a power wheelchair.
`99456`	Work-related or medical disability examination services.	Occasionally used when disability evaluation documentation is required to support mobility device necessity.

Related Modifiers

5 rows

Modifier	Description	When to Use
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
91	Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…	- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
74	Modifier ‑74 indicates an outpatient hospital or ASC procedure that was discontinued after anesthesia was administered and after the procedure had begun. Use this modifier when anesthesia (local,…	- Use modifier -74 when a procedure in an outpatient hospital or ASC setting is terminated after anesthesia has been administered and after the procedure has commenced (for example, after incision,…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
103TP2701X	Group Psychotherapy Psychologist	A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identif…
2084D0003X	Diagnostic Neuroimaging (Psychiatry & Neurology) Physician	A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards…
207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education …
251X00000X	Supports Brokerage Agency	A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with…
283X00000X	Rehabilitation Hospital	A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functiona…
207RP1001X	Pulmonary Disease Physician	An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational an…

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
`97535`	Self-care/home management training (e.g., activities of daily living and compensatory training) direct one-on-one patient, each 15 minutes.	Occupational therapy sessions to train the patient in power wheelchair use and ADL adaptations prior to or after device delivery.
`97112`	Therapeutic procedure; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for each 15 minutes.	Physical therapy interventions to improve safe use of a power wheelchair and transfers.
`97755`	Assistive technology assessment; each 15 minutes.	Comprehensive assessment and documentation of device needs, including seating and mobility evaluations supporting `K0828` prescription.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes.	Physician visit to document medical necessity and sign the prescription for a power wheelchair.
`99456`	Work-related or medical disability examination services.	Occasionally used when disability evaluation documentation is required to support mobility device necessity.

Related Modifiers

5 rows

Modifier	Description	When to Use
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
91	Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…	- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…
57	CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…	- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
74	Modifier ‑74 indicates an outpatient hospital or ASC procedure that was discontinued after anesthesia was administered and after the procedure had begun. Use this modifier when anesthesia (local,…	- Use modifier -74 when a procedure in an outpatient hospital or ASC setting is terminated after anesthesia has been administered and after the procedure has commenced (for example, after incision,…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
103TP2701X	Group Psychotherapy Psychologist	A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identif…
2084D0003X	Diagnostic Neuroimaging (Psychiatry & Neurology) Physician	A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards…
207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education …
251X00000X	Supports Brokerage Agency	A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with…
283X00000X	Rehabilitation Hospital	A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functiona…
207RP1001X	Pulmonary Disease Physician	An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational an…

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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II K0828: Power Wheelchair, Extra Heavy Duty 601+ lbs

Sign up for hcpcs K0828 policy alerts

OpenPayer

HCPCS Level II K0828: Power Wheelchair, Extra Heavy Duty 601+ lbs

Sign up for hcpcs K0828 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS Level II K0828: Power Wheelchair, Extra Heavy Duty 601+ lbs

Sign up for hcpcs K0828 policy alerts

HCPCS Level II K0828: Power Wheelchair, Extra Heavy Duty 601+ lbs

Sign up for hcpcs K0828 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0828 represent?

What clinical and documentation steps are included in the DME workflow for K0828?

Which CPT codes are commonly associated with K0828 provision and why?

What diagnoses are referenced as clinical reasons to support use of a K0828 wheelchair?

Where are K0828 devices typically provided and which payers are listed on the page?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0828 represent?

What clinical and documentation steps are included in the DME workflow for K0828?

Which CPT codes are commonly associated with K0828 provision and why?

What diagnoses are referenced as clinical reasons to support use of a K0828 wheelchair?

Where are K0828 devices typically provided and which payers are listed on the page?

References