Summary & Overview
HCPCS Level II K0877: Power Wheelchair Group 4 Standard, 300 lb Capacity
HCPCS Level II code K0877 designates a Group 4 standard power wheelchair with a single power option, sling or solid seat/back, and a patient weight capacity up to and including 300 pounds. The code identifies a durable medical equipment mobility device used to support independent mobility for patients with significant functional limitations. Nationally, codes for power mobility devices are important for consistent coverage determinations, supplier billing, and access to mobility aids for eligible patients.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the device classification, typical sites of service such as the home and long-term care settings, and the clinical context in which a Group 4 power wheelchair is used. The publication summarizes billing considerations, common modifier usage (listed separately), and payer coverage patterns where available. It also highlights benchmarks and policy updates relevant to durable medical equipment suppliers and provider billing workflows.
This summary equips clinicians, DME suppliers, and billing professionals with a concise reference to the code's clinical role, typical use settings, and the payer landscape affecting access and reimbursement pathways. Data not available in the input: specific coverage criteria by payer, associated taxonomies, and linked ICD-10 diagnoses.
Billing Code Overview
HCPCS Level II code K0877 describes a power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds. This item is a durable medical equipment device intended to provide mobility assistance for patients who require powered seating and propulsion support.
Service Type: Durable Medical Equipment (power mobility device)
Typical Site of Service: Home, outpatient durable medical equipment suppliers, long-term care facilities
Data not available in the input for associated taxonomies, ICD-10 diagnoses, or related codes.
Clinical & Coding Specifications
Clinical Context
A 72-year-old male with progressive Parkinson disease and osteoarthritis of both knees presents with increasing difficulty mobilizing in the community. He is ambulatory only short distances with a cane and requires rest frequently because of fatigue and postural instability. Objective mobility assessment shows limited endurance, unsafe gait with falls risk, and inability to navigate his home and local neighborhood. A durable medical equipment (DME) evaluation determines the patient meets medical necessity for a power wheelchair due to inability to propel a manual wheelchair and insufficient upper extremity strength for prolonged ambulation.
The clinical workflow begins with the treating physician (physiatrist or primary care physician) documenting the diagnosis, functional limitations, and prior conservative measures. A DME supplier performs a detailed mobility evaluation, documents seat and postural needs consistent with a sling/solid seat/back, confirms weight capacity requirement up to 300 pounds, and selects a Group 4 power wheelchair with single power option consistent with K0877. The supplier obtains required physician prescription, advanced beneficiary notice if applicable, and completes the required trial or demonstration. Delivery, patient training, and setup are performed in the home or clinic. Follow-up includes adjustments, maintenance, and potential billing of service or repairs using appropriate modifiers and CPT codes for associated evaluation or training when applicable.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|