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HCPCS K0802 Fee Schedule

Last Verified: January 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.

Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds
Key FactDetail
Service Type

Durable medical equipment (DME) Medicare administrative contractors (MACs)

Power Operated Vehicles

Complexity LevelHigh

National average reimbursement for HCPCS K0802 by major payers:

bcbs

$1,516.38

uhc

$1,496.04

aetna

$1,623.70

cigna

$2,851.17

Preview provider-level rates for...
For billing codeHCPCS K0802
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS K0802

United
K0802$1533.131326191180 - PROFESSIONAL RESOURCES MANAGEMENT OF RABUN, LLC, MOUNTAIN LAKES MEDICAL CENTER202012765GACritical Access Hospital (282NC0060X)
United
K0802$129.081225339898 - SCREVEN COUNTY HOSPITAL, LLC, OPTIM MEDICAL CENTER - SCREVEN273100946GACritical Access Hospital (282NC0060X)
United
K0802$1252.701649646472 - LEIGH TAYLOR273818647GAGeneral Acute Care Hospital (282N00000X)
United
K0802$912.251417157405 - EMORY HEALTHCARE711018941 - CARDIAC ARRHYTHMIA INSTITUTEGAGeneral Acute Care Hospital (282N00000X)
United
K0802$1921.131770684284 - THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA, MONROE COUNTY HOSPITAL586010602 - (GA) THE HOSPITAL AUTHORITY OF MONROE COUNTY GEORGIAGACritical Access Hospital (282NC0060X)
United
K0802$1252.701922178789 - SCOTTISH RITE CHILDRENS MEDICAL CTR, CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE580572465 - CHILDRENS HEALTHCARE OF ATLANTA INCGAChildren's Hospital (282NC2000X)
United
K0802$396.291225281603 - EMORY CRAWFORD LONG HOSPITAL582030692 - EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
K0802$968.171225339898 - SCREVEN COUNTY HOSPITAL, LLC, OPTIM MEDICAL CENTER - SCREVEN273100946GACritical Access Hospital (282NC0060X)
United
K0802$1533.131720189517 - TAYLOR REGIONAL HOSPITAL580655369 - (GA) TAYLOR REGIONAL HOSPITALGARural Acute Care Hospital (282NR1301X)
United
K0802$1216.321508900101 - MICHAEL KOCH208418894 - (GA) PATHOLOGY LAB OF GEORGIA LLCGAGeneral Acute Care Hospital (282N00000X)
United
K0802$129.081245201094 - SCREVEN COUNTY HOSPITAL273100946GACritical Access Hospital (282NC0060X)
United
K0802$320.671760498588 - PIEDMONT NEWTON HOSPITAL, INC., NEWTON MEDICAL CENTER814475074 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
K0802$1533.131912099094 - COLQUITT REGIONAL MEDICAL CENTER580607088 - COLQUITT REGIONAL MEDICAL CENTERGAGeneral Acute Care Hospital (282N00000X)
United
K0802$3206.791760498588 - PIEDMONT NEWTON HOSPITAL, INC., NEWTON MEDICAL CENTER814475074 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
K0802$1252.701922178789 - SCOTTISH RITE CHILDRENS MEDICAL CTR, CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE580572465 - CHILDRENS HEALTHCARE OF ATLANTA INCGAChildren's Hospital (282NC2000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS K0802 vs. Other Power Operated Vehicles Codes

The HCPCS K0802 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Power Operated Vehicles. 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 K0802 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.

CodeComplexityDescription
K0801-HCPCSHighPower operated vehicle, group 1 heavy duty, patient weight capacity 301 to 450 pounds
K0802-HCPCSHighPower operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds
K0806-HCPCSHighPower operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0802. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the K0802 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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