## **What is the HCPCS code K0835 for?**
The HCPCS code K0835 is meant to designate the provision of a power-operated wheelchair, specifically a Group 2 standard, single power option model. This model is equipped with a sling or solid seat and back, which supports patients weighing up to and including 300 pounds.
What does it mean that this is a Group 2 wheelchair? It means it is part of a group of power wheelchairs that are more durable and have improved battery life. It can also reach a speed of 4mph. Please note that these models don't have enhanced features often associated with heavier-duty or more complex wheelchairs. The key difference with other groups is the testing standards (fatigue, curb climb, obstacle negotiation) that Group 2 wheelchairs must pass, which are more rigorous than Group 1 but less than Group 3.
This type of wheelchair can be provided by healthcare professionals to users who require powered mobility due to the following problems or states:
- Multiple sclerosis
- Amyotrophic lateral sclerosis
- Spinal cord injuries
- Other advanced neurological conditions that severely impact mobility
- Severe arthritis
- Extreme obesity
This wheelchair can lead to enhanced mobility, independence, and quality of life.
## **Documentation requirements for K0835**
As with any HCPCS code, please make sure to have sufficient documentation that fits the necessary CMS/Medicaid services/related coding guidelines for durable medical equipment and wheelchairs. Here are some examples of what you need:
- The full name of the beneficiary/patient
- The full name and credentials of the healthcare professional(s) providing the wheelchair
- Medical history, diagnoses, and test results that show the patient has a condition that warrants the use of this kind of wheelchair/to support medical necessity
- Standard written order (SWO) or written order prior to delivery (WOPD) containing beneficiary identifiers, order date, item descriptions, quantity, prescribing provider's name, signature, and NPI
- Documentation of a face-to-face encounter with the same treating practitioner who signs the SWO/WOPD
## **Billing requirements for K0835**
Besides the documentation requirements above, please take note of or have the following:
- The related ICD code is tied to the patient's condition
- 1 power wheelchair = 1 unit
- Prior authorization
- Other HCPCS codes to be billed separately if accessories are provided (e.g., power seat elevation equipment/power tilt/reclining system) + medical necessities for these
## **Other similar codes**
- **E2298** - Complex rehabilitative power wheelchair accessory, power seat elevation system, any type
- **K0813** - Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds
- **K0820** - Power wheelchair, group 2 standard, portable, sling/solid seat/back, patient weight capacity up to and including 300 pounds
- **K0824** - Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds
- **K0840** - Power wheelchair, group 2 extra heavy duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more
Frequently asked questions
