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See a sample rate comparisonHCPCS K0007 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Extra heavy duty wheelchair
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Wheelchairs, Components, and Accessories |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for K0007 |
National average reimbursement for HCPCS K0007 by major payers:
$613.97
$673.09
$802.07
$1,196.35
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HCPCS K0007
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$1,288.00Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$798.91Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$506.04Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$378.82Published rateProgressive Emergency Physicians PLLC
$90.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS K0007 vs. Other Wheelchairs, Components, and Accessories Codes
The HCPCS K0007 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Wheelchairs, Components, and Accessories. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS K0007 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| K0006-HCPCS | Moderate | Heavy duty wheelchair |
| K0007-HCPCS | Moderate | Extra heavy duty wheelchair |
| K0008-HCPCS | Moderate | Custom manual wheelchair/base |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0007 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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