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Power Mobility Devices Weight Requirements Tool

This tool helps suppliers choose the appropriate power mobility base as determined by the beneficiary's weight. The Power Mobility Devices LCD (L33789) allows for a supplier to provide the next classification of base if the beneficiary's weight is within 5% of the maximum weight capacity per the HCPCS code description.

For example, a K0823 has a weight capacity up to and including 300 pounds. If the beneficiary's weight is 294 pounds, they are within 5% of the maximum (285 pounds or more) and the supplier could provide a K0825 wheelchair base, which has a capacity of 301 to 450 pounds.

Search by HCPCS Code:

Enter a power mobility device base HCPCS code to view that code’s beneficiary weight range.

Search by Weight:

Enter a weight value to view the range of HCPCS codes applicable for that weight. (Example: Enter “229” for a beneficiary weighing 229 pounds.)

Note: The presence of a HCPCS code on this tool has no bearing on coverage or required documentation. Review the "Coverage Indications, Limitations and/or Medical Necessity" section of the Power Mobility Devices LCD (L33789) for reasonable and necessary guidelines.

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.

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