K0877 HCPCS Level II code: Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
K0877 is the HCPCS code for “Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
K0877Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Short description: Pwc gp4 std sing pow opt s/b
HCPCS · United States
Medicare details
The indicators CMS publishes with K0877 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Capped rental DME (price subject to floors and ceilings)
- Type of service
- Used durable medical equipment (DME); Lump sum purchase of DME, prosthetics, orthotics; Rental of DME
- BETOS category
- Wheelchairs
- Added
- Oct 1, 2006
Where K0877 sits
- 1K codesTemporary codes for DME
- 2Active code K0877Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code K0877 mean?
K0877 is the HCPCS code for “Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover K0877?
CMS lists K0877’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Capped rental DME (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside K0877
All K codesK0863Power wheelchair, group 3 very heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0864Power wheelchair, group 3 extra heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or moreK0868Power wheelchair, group 4 standard, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0869Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 poundsK0870Power wheelchair, group 4 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0871Power wheelchair, group 4 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 poundsK0878Power wheelchair, group 4 standard, single power option, captains chair, patient weight capacity up to and including 300 poundsK0879Power wheelchair, group 4 heavy duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 poundsK0880Power wheelchair, group 4 very heavy duty, single power option, sling/solid seat/back, patient weight 451 to 600 poundsK0884Power wheelchair, group 4 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 poundsK0885Power wheelchair, group 4 standard, multiple power option, captains chair, patient weight capacity up to and including 300 poundsK0886Power wheelchair, group 4 heavy duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds