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See a sample rate comparisonHCPCS K0011 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Wheelchairs, Components, and Accessories |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for K0011 |
National average reimbursement for HCPCS K0011 by major payers:
$4,990.47
$3,664.38
$5,350.66
$8,582.52
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HCPCS K0011
5 of 25 sample ratesHigher to lower in this preview
Kelly Ridges
Allergy & Asthma Of Dupage, S.C.
$4,651.69Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$3,967.47Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$1,586.99Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$633.17Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$357.07Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS K0011 vs. Other Wheelchairs, Components, and Accessories Codes
The HCPCS K0011 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 K0011 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 |
|---|---|---|
| K0010-HCPCS | High | Standard - weight frame motorized/power wheelchair |
| K0011-HCPCS | High | Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking |
| K0012-HCPCS | High | Lightweight portable motorized/power wheelchair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0011 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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