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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Power Operated Vehicles |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for K0806 |
National average reimbursement for HCPCS K0806 by major payers:

$1,122.65

$1,002.17

$468.37

$2,035.65
Choose a payer to see a sample of rates for HCPCS K0806.
Emory University
Community Services Group Inc
Community Services Group Inc
Gainesville Radiology Group
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalHCPCS K0806 vs. Other Power Operated Vehicles Codes
The HCPCS K0806 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 K0806 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 |
|---|---|---|
| K0802-HCPCS | High | Power operated vehicle, group 1 very heavy duty, patient weight capacity 451 to 600 pounds |
| K0806-HCPCS | High | Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds |
| K0807-HCPCS | High | Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0806. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0806 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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