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K0843

K0843Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

HCPCSActiveBETOS D1D

K0843 is a HCPCS Level II code for power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds. It belongs to the Durable Medical Equipment (DME MAC Temporary) section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Medically Unlikely Edits — units per day

The most units of K0843 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
outpatient
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
DME supplier
1 unit
MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for K0843

Long descriptor
Power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds

The official wording. This is what the code means.

Short descriptor
Pwc gp2 hd mult pow opt s/b

CMS's 28-character form, which is what shows up on a remittance advice.

Added
October 1, 2006

When CMS introduced the code.

BETOS
D1D

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
36 — DMEPOS

Capped rental DME. Price subject to floors and ceilings.

Codes adjacent to K0843

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If K0843 is not quite right, the correct code is very often within a few positions of it.

  • K0835Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
  • K0836Power wheelchair, group 2 standard, single power option, captains chair, patient weight capacity up to and including 300 pounds
  • K0837Power wheelchair, group 2 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds
  • K0838Power wheelchair, group 2 heavy duty, single power option, captains chair, patient weight capacity 301 to 450 pounds
  • K0839Power wheelchair, group 2 very heavy duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds
  • K0840Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more
  • K0841Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
  • K0842Power wheelchair, group 2 standard, multiple power option, captains chair, patient weight capacity up to and including 300 pounds
  • K0848Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds
  • K0849Power wheelchair, group 3 standard, captains chair, patient weight capacity up to and including 300 pounds
  • K0850Power wheelchair, group 3 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
  • K0851Power wheelchair, group 3 heavy duty, captains chair, patient weight capacity 301 to 450 pounds
  • K0852Power wheelchair, group 3 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds
  • K0853Power wheelchair, group 3 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds
  • K0854Power wheelchair, group 3 extra heavy duty, sling/solid seat/back, patient weight capacity 601 pounds or more
  • K0855Power wheelchair, group 3 extra heavy duty, captains chair, patient weight capacity 601 pounds or more

Questions about K0843

What is HCPCS code K0843?

K0843 is a HCPCS Level II code for power wheelchair, group 2 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds. It sits in the Durable Medical Equipment (DME MAC Temporary) section.

Does Medicare cover K0843?

The CMS HCPCS file marks K0843 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

HCPCS Level II2026Q3-Jul· effective July 1, 2026