HCPCS Level II K0884: Power Wheelchair, Group 4 Standard

HCPCS Level II code K0884 describes a Group 4 standard power wheelchair with multiple power options and a sling/solid seat and back designed for patients with a weight capacity up to and including 300 pounds; this item is durable medical equipment intended for mobility assistance, typically provided for home use and other ambulatory or residential settings and documented as a power mobility device for individuals who require a powered wheelchair for mobility.

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HCPCS Level II K0884: Power Wheelchair, Group 4 Standard

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Get alerted when payer policies referencing K0884 are released or updated.

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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.

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 during occupational therapy sessions for functional mobility training after delivery of the power wheelchair
`97112`	Therapeutic procedure, neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and proprioception	Applied when physical therapy trains the patient to safely operate and transfer to/from the power wheelchair
`97542`	Wheelchair management (e.g., assessment, fitting, training)	Directly related to wheelchair seating, positioning, and patient/caregiver training for power mobility use
`99070`	Supplies and materials (e.g., extra batteries, special accessories), additional charge	Used when billing for nonstandard accessories or supplies associated with the wheelchair delivery according to payer policy
`99456`	Work related or medical disability examination services, disability determination	May be used when documentation of mobility limitation and disability status is required for payer authorization or continuing coverage

Related Modifiers

5 rows

Modifier	Description	When to Use
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…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
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…
174400000X	Specialist	An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
333600000X	Pharmacy	A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207VE0102X	Reproductive Endocrinology Physician	An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
103TH0100X	Health Service Psychologist	A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, …
2084N0600X	Clinical Neurophysiology Physician	Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autono…
364SX0106X	Occupational Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist

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
`97530`	Therapeutic activities, direct (one-on-one) patient contact by the provider, each 15 minutes	Used during occupational therapy sessions for functional mobility training after delivery of the power wheelchair
`97112`	Therapeutic procedure, neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and proprioception	Applied when physical therapy trains the patient to safely operate and transfer to/from the power wheelchair
`97542`	Wheelchair management (e.g., assessment, fitting, training)	Directly related to wheelchair seating, positioning, and patient/caregiver training for power mobility use
`99070`	Supplies and materials (e.g., extra batteries, special accessories), additional charge	Used when billing for nonstandard accessories or supplies associated with the wheelchair delivery according to payer policy
`99456`	Work related or medical disability examination services, disability determination	May be used when documentation of mobility limitation and disability status is required for payer authorization or continuing coverage

Related Modifiers

5 rows

Modifier	Description	When to Use
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…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
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…
174400000X	Specialist	An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
333600000X	Pharmacy	A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative servi…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
207VE0102X	Reproductive Endocrinology Physician	An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
103TH0100X	Health Service Psychologist	A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, …
2084N0600X	Clinical Neurophysiology Physician	Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autono…
364SX0106X	Occupational Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist

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 K0884: Power Wheelchair, Group 4 Standard

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OpenPayer

HCPCS Level II K0884: Power Wheelchair, Group 4 Standard

Sign up for hcpcs K0884 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 K0884: Power Wheelchair, Group 4 Standard

Sign up for hcpcs K0884 policy alerts

HCPCS Level II K0884: Power Wheelchair, Group 4 Standard

Sign up for hcpcs K0884 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0884 represent and where is it typically supplied?

What clinical documentation and workflow are required to support billing K0884?

Which payers commonly cover K0884 and what authorization steps are typically needed?

Which CPT/HCPCS modifiers are commonly used with K0884 and when are they applied?

What related CPT codes might be billed in conjunction with K0884 for training and accessories?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0884 represent and where is it typically supplied?

What clinical documentation and workflow are required to support billing K0884?

Which payers commonly cover K0884 and what authorization steps are typically needed?

Which CPT/HCPCS modifiers are commonly used with K0884 and when are they applied?

What related CPT codes might be billed in conjunction with K0884 for training and accessories?

References