In simple words: This code covers a portable electric wheelchair for people weighing up to 300 pounds. It's for those who can't walk and can't use a regular wheelchair.A doctor needs to see the patient and confirm that the electric wheelchair is medically necessary.

This code covers the supply of a portable group 2 power wheelchair with sling style or solid seat and back.It is used for a power wheelchair with a standard patient weight capacity up to and including 300 pounds.This type of wheelchair is typically provided to patients who have difficulty with activities of daily living, are unable to walk, and lack the upper extremity strength to use a manual wheelchair.Documentation of a face-to-face encounter and the medical necessity for the power wheelchair is required.

Example 1: A patient with multiple sclerosis experiences progressive weakness and can no longer propel a manual wheelchair.The physician prescribes a K0820 power wheelchair after a face-to-face evaluation, documenting the medical necessity., A patient with post-polio syndrome requires a lightweight, portable power wheelchair (K0820) for mobility both inside and outside the home. The physician documents the patient's inability to ambulate or use a manual wheelchair., An elderly patient with severe osteoarthritis and limited upper extremity strength requires a K0820 power wheelchair for basic mobility. Following a face-to-face evaluation, the physician documents the medical necessity and the patient's inability to use other mobility devices.

Face-to-face encounter documentation, medical necessity justification, patient's ability to safely operate, transfer, and maintain an upright position, informed consent regarding purchase/rental options.

** Prior authorization may be required by the DME MAC.G9156 can be billed for the evaluation leading to the prior authorization request for power wheelchairs.