Summary & Overview
HCPCS K0884: Power Wheelchair Group 4, Sling/Solid Seat, Up to 300 lbs
HCPCS Level II code K0884 designates a group 4 standard power wheelchair with multiple power options and a sling/solid seat and back, rated for patient weight capacity up to and including 300 pounds. This code covers a category of durable medical equipment (DME) that supports mobility for individuals with significant functional limitations and higher weight capacity needs. Nationally, these devices are important for independent living, access to outpatient services, and reducing caregiver burden.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis covers coverage considerations across major commercial insurers and the Medicare program, highlighting where policy criteria and documentation expectations typically intersect for power mobility devices.
Readers will learn what K0884 represents clinically and operationally, typical sites of service and service type, and which payers are commonly involved. The publication outlines benchmarks and common billing practices, notes policy considerations that affect coverage and reimbursement, and provides clinical context for when a group 4 power wheelchair is appropriate. Data not available in the input is identified where relevant.
Billing Code Overview
HCPCS Level II code K0884 describes a power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds. This durable medical equipment item is a power mobility device intended to provide mobility assistance for patients who require a heavy-duty power wheelchair with a sling or solid seat and back construction.
Service Type: Durable medical equipment — power mobility device
Typical Site of Service: Durable medical equipment supplier, patient residence, or outpatient mobility/rehabilitation clinic
Clinical & Coding Specifications
Clinical Context
A 68-year-old male with progressive advanced multiple sclerosis and resultant severe lower-extremity weakness and impaired mobility is evaluated by an outpatient durable medical equipment (DME) supplier following a physician order. The patient requires a Group 4 power wheelchair with a standard multiple power option and a sling/solid seat/back for activities of daily living, with a weight capacity up to and including 300 pounds. Clinical workflow: the treating physician documents functional limitations, a mobility assessment (including requirement for powered mobility due to inability to safely propel a manual wheelchair or walk), detailed physical and cognitive examination, and medical necessity rationale. The physician completes a written order specifying K0884 and the product options. The DME supplier obtains measurements, verifies payer coverage and prior authorization requirements with payors such as Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare, performs seating and positioning evaluation, provides a face-to-face or telehealth evaluation if required by payer, delivers the device, trains the patient and caregivers on safe operation and maintenance, and documents delivery and follow-up. Typical sites of service include outpatient DME supplier locations, home delivery with in-home setup, and outpatient rehabilitation clinics coordinating customization and training.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 |