2025 HCPCS code K0806
Effective Date: N/A Durable Medical Equipment (DME) - Power Operated Vehicles (POVs)/Scooters Feed
Power operated vehicle, group 2, standard, patient weight capacity up to and including 300 lbs.
Modifiers such as NU (New equipment), UE (Used DME), RA (Replacement), RR (Rental), BP (Beneficiary purchase), and BU (Beneficiary undecided) may be applicable.
Medical necessity must be established by demonstrating that the patient has a medical condition that impairs their mobility and limits their ability to perform activities of daily living, and that a POV is the most appropriate assistive device to meet their needs. Prior authorization may be required by the DME MAC.
In simple words: This code represents a motorized scooter for individuals weighing up to 300 pounds who have difficulty moving around on their own and can't use a manual wheelchair. It helps them perform daily activities at home.
This code covers the supply of a group 2 power operated vehicle (POV), also known as a scooter, for patients weighing up to 300 lbs. who have difficulty with independent movement and limited upper extremity strength, making manual wheelchair propulsion challenging. This POV is designed to assist with activities of daily living within the home. Group 2 specifications include a length of 48 inches, width of 28 inches, ability to maneuver over a 50 mm obstacle, a top speed of 4 mph, a range of 10 miles, and stability on a 7.5-degree incline.
Example 1: A 70-year-old patient with severe osteoarthritis in both knees and limited upper body strength requires a power-operated vehicle to perform activities of daily living within their home. Their weight is 280 lbs. K0806 is used., A patient with multiple sclerosis experiences significant fatigue and weakness, making ambulation difficult. They weigh 250 lbs and require a mobility device for indoor use. A Group 2 POV (K0806) is deemed appropriate following a face-to-face evaluation (G9156). , A 55-year-old patient post-stroke has limited mobility and reduced upper body strength. They weigh 295 lbs and need assistance with indoor mobility. After assessing their needs and confirming their ability to operate the device safely, a group 2 POV (K0806) is prescribed.
Documentation should include the patient's weight, medical justification for the need for a POV (e.g., diagnosis, functional limitations, inability to use a manual wheelchair), assessment of the patient's ability to safely operate the device, and details of the face-to-face evaluation (if performed).
** Prior authorization is often required for POVs. The supplier is responsible for obtaining this authorization. The prescribing physician should document the specific type of POV, features, and justifications based on the patient’s functional limitations.
- Specialties:Physical Medicine and Rehabilitation, Geriatrics, Neurology, Internal Medicine
- Place of Service:Home