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HCPCS Level II · Temporary codes for DME regional carriers

K0869Power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About K0869

K0869 is an HCPCS Level II code in the K series (temporary codes for DME regional carriers), describing power wheelchair, group 4 standard, captains chair, patient weight capacity up to and including 300 pounds.

It was added to HCPCS effective 10/01/2006.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Pwc gp 4 std cap chair
Date added
10/01/2006
Action effective
10/01/2006
BETOS
D1D

Related K08xx codes

Common questions about K0869

Is HCPCS K0869 still valid?

Yes. K0869 is active in the CMS October 2026 HCPCS file.

Does Medicare cover K0869?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.