HCPCS K0886: Power Wheelchair, Group 4 Heavy Duty, 301–450 lb

HCPCS Level II code K0886 describes a power wheelchair, Group 4 heavy duty with multiple power options, a sling or solid seat/back, and a patient weight capacity of 301 to 450 pounds; this represents durable medical equipment for mobility assistance typically provided as a complex power mobility device for patients with significant mobility impairment and is commonly supplied through durable medical equipment (DME) providers for use in home and community settings.

Customize your policy alerts

Sign up for hcpcs K0886 policy alerts

Get alerted when payer policies referencing K0886 are released or updated.

Monitor payer policy activity

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

Explore openpayer tools

View all tools

HCPCS K0886: Power Wheelchair, Group 4 Heavy Duty, 301–450 lb

Customize your policy alerts

Sign up for hcpcs K0886 policy alerts

Get alerted when payer policies referencing K0886 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 typical patient is an adult with mobility-limiting neuromuscular disease, severe osteoarthritis, morbid obesity, or spinal cord injury who requires a heavy-duty power wheelchair with a sling or solid seat/back and a patient weight capacity of 301 to 450 pounds. The clinical workflow begins with a physician or advanced practice clinician evaluation documenting functional limitations, safety concerns, and prior mobility aids tried. A supplier conducts a face-to-face assessment, performs objective measurements (seat depth/width, transfer needs, turning radius), and documents specialized power options (multiple power seating controls, tilt/recline, power elevating seat) required for pressure relief, transfers, or activities of daily living. Durable medical equipment documentation includes the power wheelchair specification (K0886), justification of weight capacity, trial results or demonstration, and a plan of care signed by the prescribing clinician. The supplier arranges delivery, fitting, user training, and follow-up for adjustments and repairs. Typical sites of service include the patient’s home, outpatient durable medical equipment supplier facility, or a rehabilitation clinic. Common payors include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97542`	Wheelchair management (e.g., assessment, fitting) including power wheelchair seating, each 15 minutes	Used for clinical wheelchair/mobility seating assessments and training sessions that support selection and customization of the power wheelchair.
`97001`	Physical therapy evaluation	Initial PT evaluation often performed prior to prescription to document functional deficits and justify the need for a power wheelchair.
`97112`	Neuromuscular re-education	Therapy code used during training to improve transfers and control when integrating a power wheelchair into daily activities.
`99070`	Supplies and materials (noncovered)	Used by suppliers to bill for additional supplies or accessories not included in the base wheelchair fee when permitted by payer.
`99080`	Special reports and forms	Used when payors (e.g., Medicare) require detailed supporting documentation, letters of medical necessity, or complex justification for heavy-duty equipment.

Related Modifiers

7 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
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…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
208M00000X	Hospitalist Physician	Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient ca…
367A00000X	Advanced Practice Midwife	Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproduc…
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.
374T00000X	Religious Nonmedical Nursing Personnel	Religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical …
3418M1110X	Military or U.S. Coast Guard Ground Transport Ambulance	Vehicle and staff for patient emergency or non-emergency ground transport. Includes traditional ambulances as well as ambulance buses.
225100000X	Physical Therapist	Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
246QH0401X	Hemapheresis Practitioner	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology

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.

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.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97542`	Wheelchair management (e.g., assessment, fitting) including power wheelchair seating, each 15 minutes	Used for clinical wheelchair/mobility seating assessments and training sessions that support selection and customization of the power wheelchair.
`97001`	Physical therapy evaluation	Initial PT evaluation often performed prior to prescription to document functional deficits and justify the need for a power wheelchair.
`97112`	Neuromuscular re-education	Therapy code used during training to improve transfers and control when integrating a power wheelchair into daily activities.
`99070`	Supplies and materials (noncovered)	Used by suppliers to bill for additional supplies or accessories not included in the base wheelchair fee when permitted by payer.
`99080`	Special reports and forms	Used when payors (e.g., Medicare) require detailed supporting documentation, letters of medical necessity, or complex justification for heavy-duty equipment.

Related Modifiers

7 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
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…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
208M00000X	Hospitalist Physician	Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient ca…
367A00000X	Advanced Practice Midwife	Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproduc…
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.
374T00000X	Religious Nonmedical Nursing Personnel	Religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical …
3418M1110X	Military or U.S. Coast Guard Ground Transport Ambulance	Vehicle and staff for patient emergency or non-emergency ground transport. Includes traditional ambulances as well as ambulance buses.
225100000X	Physical Therapist	Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
246QH0401X	Hemapheresis Practitioner	Technologists, Technicians & Other Technical Service Providers · Specialist/Technologist, Pathology

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 K0886: Power Wheelchair, Group 4 Heavy Duty, 301–450 lb

Sign up for hcpcs K0886 policy alerts

OpenPayer

HCPCS K0886: Power Wheelchair, Group 4 Heavy Duty, 301–450 lb

Sign up for hcpcs K0886 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 K0886: Power Wheelchair, Group 4 Heavy Duty, 301–450 lb

Sign up for hcpcs K0886 policy alerts

HCPCS K0886: Power Wheelchair, Group 4 Heavy Duty, 301–450 lb

Sign up for hcpcs K0886 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0886 represent?

What clinical and supplier documentation is referenced for K0886?

Which related CPT codes are commonly used with K0886 and why?

What patient populations, sites of service, and payors are associated with K0886?

What assessment, fitting, and follow‑up steps are described for supplying a K0886 power wheelchair?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code K0886 represent?

What clinical and supplier documentation is referenced for K0886?

Which related CPT codes are commonly used with K0886 and why?

What patient populations, sites of service, and payors are associated with K0886?

What assessment, fitting, and follow‑up steps are described for supplying a K0886 power wheelchair?

References