HCPCS Level II K0840: Power Wheelchair, Extra Heavy Duty, 601+ lb

HCPCS Level II code K0840 describes a power wheelchair, Group 2 extra heavy duty, single power option with a sling/solid seat and back designed for patients with a weight capacity of 601 pounds or more; this durable medical equipment item is used as a mobility assist device and is typically provided for use in community and home settings where a powered mobility device is required.

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HCPCS Level II K0840: Power Wheelchair, Extra Heavy Duty, 601+ lb

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Get alerted when payer policies referencing K0840 are released or updated.

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Clinical & Coding Specifications

Clinical Context

A 62-year-old patient weighing 650 pounds with advanced osteoarthritis and limited mobility is evaluated for durable medical equipment to improve mobility and independence at home. The patient has progressive bilateral knee pain, difficulty transferring, and inability to ambulate safely. An occupational therapist performs a home mobility assessment documenting the need for a power wheelchair with an extra heavy duty frame, sling/solid seat and back, and a single power option to accommodate the patient’s weight and seating requirements. The clinician documents medical necessity, functional limitations, and prior conservative measures (assistive devices trial, physical therapy). The durable medical equipment supplier coordinates wheelchair fitting, customization (seat width, reinforced frame), and delivery. The typical workflow includes physician prescription with diagnosis and weight capacity, supplier prior authorization submission to the payor, therapist evaluation and fitting, delivery with patient training, and follow-up adjustments.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	Used by therapists for mobility training and activities of daily living assessment prior to wheelchair delivery
`97165`	Physical therapy evaluation: high complexity	Used when a comprehensive PT evaluation documents functional limitations supporting the power wheelchair prescription
`97166`	Physical therapy re-evaluation: moderate complexity	Used for follow-up re-evaluations after wheelchair delivery and fitting
`97750`	Physical performance test or measurement	Used to document functional mobility metrics relevant to device selection
`92610`	Evaluation of oral and pharyngeal swallowing function (instrumental)	Data not applicable to this procedure; include only clinically relevant codes as above
`99406`	Smoking and tobacco use cessation counseling	May be documented during comprehensive care but not directly related to wheelchair billing

Related Modifiers

5 rows

Modifier	Description	When to Use
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…
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…
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…

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…
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…
208D00000X	General Practice Physician	A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2086S0105X	Surgery of the Hand (Surgery) Physician	A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the up…
261QV0200X	VA Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
171100000X	Acupuncturist	An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long,…
261QD1600X	Developmental Disabilities Clinic/Center	An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling …
341600000X	Ambulance	An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States i…

Related ICD-10-CM Codes

28 rows

ICD-10-CM Code	Description
E66.9	Obesity, unspecified
G04.90	Encephalitis and encephalomyelitis, unspecified
G12.21	Amyotrophic lateral sclerosis
G60.3	Idiopathic progressive neuropathy
G82.20	Paraplegia, unspecified
G82.21	Paraplegia, complete
G82.50	Quadriplegia, unspecified
G82.51	Quadriplegia, C1-C4 complete
G83.4	Cauda equina syndrome
G90.9	Disorder of the autonomic nervous system, unspecified

Showing 1–10 of 28

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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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	Used by therapists for mobility training and activities of daily living assessment prior to wheelchair delivery
`97165`	Physical therapy evaluation: high complexity	Used when a comprehensive PT evaluation documents functional limitations supporting the power wheelchair prescription
`97166`	Physical therapy re-evaluation: moderate complexity	Used for follow-up re-evaluations after wheelchair delivery and fitting
`97750`	Physical performance test or measurement	Used to document functional mobility metrics relevant to device selection
`92610`	Evaluation of oral and pharyngeal swallowing function (instrumental)	Data not applicable to this procedure; include only clinically relevant codes as above
`99406`	Smoking and tobacco use cessation counseling	May be documented during comprehensive care but not directly related to wheelchair billing

Related Modifiers

5 rows

Modifier	Description	When to Use
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…
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…
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…

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…
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…
208D00000X	General Practice Physician	A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2086S0105X	Surgery of the Hand (Surgery) Physician	A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the up…
261QV0200X	VA Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
171100000X	Acupuncturist	An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long,…
261QD1600X	Developmental Disabilities Clinic/Center	An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling …
341600000X	Ambulance	An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States i…

Related ICD-10-CM Codes

28 rows

ICD-10-CM Code	Description
E66.9	Obesity, unspecified
G04.90	Encephalitis and encephalomyelitis, unspecified
G12.21	Amyotrophic lateral sclerosis
G60.3	Idiopathic progressive neuropathy
G82.20	Paraplegia, unspecified
G82.21	Paraplegia, complete
G82.50	Quadriplegia, unspecified
G82.51	Quadriplegia, C1-C4 complete
G83.4	Cauda equina syndrome
G90.9	Disorder of the autonomic nervous system, unspecified

Showing 1–10 of 28

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 K0840: Power Wheelchair, Extra Heavy Duty, 601+ lb

Sign up for hcpcs K0840 policy alerts

OpenPayer

HCPCS Level II K0840: Power Wheelchair, Extra Heavy Duty, 601+ lb

Sign up for hcpcs K0840 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

HCPCS Level II K0840: Power Wheelchair, Extra Heavy Duty, 601+ lb

Sign up for hcpcs K0840 policy alerts

HCPCS Level II K0840: Power Wheelchair, Extra Heavy Duty, 601+ lb

Sign up for hcpcs K0840 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code K0840 represent?

What clinical scenario and workflow are associated with K0840 in the provided content?

Which CPT codes are commonly used alongside K0840 and why?

Which payers are indicated as covering K0840 and does the page provide coverage details?

What documentation and steps are described as part of supporting a K0840 power wheelchair claim?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code K0840 represent?

What clinical scenario and workflow are associated with K0840 in the provided content?

Which CPT codes are commonly used alongside K0840 and why?

Which payers are indicated as covering K0840 and does the page provide coverage details?

What documentation and steps are described as part of supporting a K0840 power wheelchair claim?

References