HCPCS Level II K0890: Pediatric Power Wheelchair Group 5

HCPCS Level II code K0890 describes a power wheelchair, group 5 pediatric, single power option with a sling/solid seat and back and a patient weight capacity up to and including 125 pounds; the service is durable medical equipment for pediatric mobility impairment, typically provided as a home or community durable medical equipment delivery and set up for use in the patient's usual residence or school setting.

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HCPCS Level II K0890: Pediatric Power Wheelchair Group 5

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Get alerted when payer policies referencing K0890 are released or updated.

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

Clinical & Coding Specifications

Clinical Context

A pediatric patient weighing 110 pounds with severe mobility impairment due to spastic cerebral palsy requires a Group 5 power wheelchair (K0890) with a single power option and sling/solid seat and back. The clinical workflow begins with a physician or pediatric physiatrist evaluation documenting functional limitations, mobility goals, and trial outcomes with a standard wheelchair. A licensed therapist (physical or occupational) performs a detailed mobility assessment, documents transfer ability, seating needs, postural support requirements, and the justification for a pediatric Group 5 power base with the specified weight capacity. The durable medical equipment (DME) supplier conducts a home visit to confirm access, clearance, and measurement needs, selects appropriate controls (e.g., joystick), and arranges customization such as seating contoured inserts. Documentation includes a detailed face-to-face evaluation, objective mobility tests (e.g., 6-minute push/wheel test adapted for power mobility), seating assessment, trial or training notes, and a detailed equipment narrative supporting medical necessity. Prior authorization is often obtained from payors before delivery. Delivery includes device setup, patient and caregiver training, and follow-up for adjustments and objective demonstration of safe use and benefit.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99204`	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	Used for the initial face-to-face physician evaluation documenting medical necessity for a power wheelchair prescription.
`97165`	Occupational therapy evaluation, low complexity	Performed by occupational therapists for seating and ADL-focused mobility assessments that support equipment selection.
`97542`	Wheelchair management (e.g., assessment, fitting, training)	Used for training the patient and caregivers in use, pressure relief, and safe operation of the power wheelchair.
`97755`	Assistive technology assessment; vehicle modification or power mobility device assessment	Used for formal assistive technology evaluations documenting device specifications and justification.
`99070`	Supplies and materials (for DME)	Used when billing non-covered supplies or accessories required at delivery if payor allows separate billing.
`99078`	Physician or other qualified healthcare professional services for patient education	Used for additional documented training sessions or education specific to safe use and maintenance of the power wheelchair.

Related Modifiers

5 rows

Modifier	Description	When to Use
74	Modifier ‑74 indicates an outpatient hospital or ASC procedure that was discontinued after anesthesia was administered and after the procedure had begun. Use this modifier when anesthesia (local,…	- Use modifier -74 when a procedure in an outpatient hospital or ASC setting is terminated after anesthesia has been administered and after the procedure has commenced (for example, after incision,…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
8P	Modifier 8P—Performance Measure Reporting Modifier – Action Not Performed, Reason Not Otherwise Specified— is appended only to CPT Category II quality-reporting codes to indicate that the specified…	- Use modifier -8P only with CPT Category II codes when the quality-measure action was not performed for an eligible patient and there is no documented reason in the medical record for omitting the…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…

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…
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…
2080P0216X	Pediatric Rheumatology Physician	A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle …
2471B0102X	Bone Densitometry Radiologic Technologist	A radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standa…
261QR1100X	Research Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
385H00000X	Respite Care	Respite Care Facility · Respite Care
376J00000X	Homemaker	An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly respo…
103TH0004X	Health Psychologist	A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and setting…

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
G12.21	Amyotrophic lateral sclerosis
G12.22	Progressive bulbar palsy
G80.0	Spastic quadriplegic cerebral palsy
G80.1	Spastic diplegic cerebral palsy
G80.2	Spastic hemiplegic cerebral palsy
G80.3	Athetoid cerebral palsy
G80.9	Cerebral palsy, unspecified
M62.81	Muscle weakness (generalized)
M62.84	Sarcopenia
M62.9	Disorder of muscle, unspecified

Showing 1–10 of 25

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
`99204`	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	Used for the initial face-to-face physician evaluation documenting medical necessity for a power wheelchair prescription.
`97165`	Occupational therapy evaluation, low complexity	Performed by occupational therapists for seating and ADL-focused mobility assessments that support equipment selection.
`97542`	Wheelchair management (e.g., assessment, fitting, training)	Used for training the patient and caregivers in use, pressure relief, and safe operation of the power wheelchair.
`97755`	Assistive technology assessment; vehicle modification or power mobility device assessment	Used for formal assistive technology evaluations documenting device specifications and justification.
`99070`	Supplies and materials (for DME)	Used when billing non-covered supplies or accessories required at delivery if payor allows separate billing.
`99078`	Physician or other qualified healthcare professional services for patient education	Used for additional documented training sessions or education specific to safe use and maintenance of the power wheelchair.

Related Modifiers

5 rows

Modifier	Description	When to Use
74	Modifier ‑74 indicates an outpatient hospital or ASC procedure that was discontinued after anesthesia was administered and after the procedure had begun. Use this modifier when anesthesia (local,…	- Use modifier -74 when a procedure in an outpatient hospital or ASC setting is terminated after anesthesia has been administered and after the procedure has commenced (for example, after incision,…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
8P	Modifier 8P—Performance Measure Reporting Modifier – Action Not Performed, Reason Not Otherwise Specified— is appended only to CPT Category II quality-reporting codes to indicate that the specified…	- Use modifier -8P only with CPT Category II codes when the quality-measure action was not performed for an eligible patient and there is no documented reason in the medical record for omitting the…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…

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…
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…
2080P0216X	Pediatric Rheumatology Physician	A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle …
2471B0102X	Bone Densitometry Radiologic Technologist	A radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standa…
261QR1100X	Research Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
385H00000X	Respite Care	Respite Care Facility · Respite Care
376J00000X	Homemaker	An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly respo…
103TH0004X	Health Psychologist	A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and setting…

Related ICD-10-CM Codes

25 rows

ICD-10-CM Code	Description
G12.21	Amyotrophic lateral sclerosis
G12.22	Progressive bulbar palsy
G80.0	Spastic quadriplegic cerebral palsy
G80.1	Spastic diplegic cerebral palsy
G80.2	Spastic hemiplegic cerebral palsy
G80.3	Athetoid cerebral palsy
G80.9	Cerebral palsy, unspecified
M62.81	Muscle weakness (generalized)
M62.84	Sarcopenia
M62.9	Disorder of muscle, unspecified

Showing 1–10 of 25

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.

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HCPCS Level II K0890: Pediatric Power Wheelchair Group 5

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HCPCS Level II K0890: Pediatric Power Wheelchair Group 5

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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 K0890: Pediatric Power Wheelchair Group 5

Sign up for hcpcs K0890 policy alerts

HCPCS Level II K0890: Pediatric Power Wheelchair Group 5

Sign up for hcpcs K0890 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What is the clinical context for using HCPCS Level II code `K0890` for a pediatric power wheelchair with a single power option and sling/solid seat and back?

Which related CPT codes are commonly used in conjunction with HCPCS Level II code `K0890` for billing purposes?

What are some common diagnoses related to pediatric mobility impairment that may necessitate the use of a power wheelchair with a single power option and sling/solid seat and back (HCPCS Level II code `K0890`)?

What is the patient weight capacity for a pediatric power wheelchair with a single power option and sling/solid seat and back (HCPCS Level II code `K0890`)?

Which payers cover HCPCS Level II code `K0890` for a pediatric power wheelchair with a single power option and sling/solid seat and back?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What is the clinical context for using HCPCS Level II code `K0890` for a pediatric power wheelchair with a single power option and sling/solid seat and back?

Which related CPT codes are commonly used in conjunction with HCPCS Level II code `K0890` for billing purposes?

What are some common diagnoses related to pediatric mobility impairment that may necessitate the use of a power wheelchair with a single power option and sling/solid seat and back (HCPCS Level II code `K0890`)?

What is the patient weight capacity for a pediatric power wheelchair with a single power option and sling/solid seat and back (HCPCS Level II code `K0890`)?

Which payers cover HCPCS Level II code `K0890` for a pediatric power wheelchair with a single power option and sling/solid seat and back?

References