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See a sample rate comparisonHCPCS K0807 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.
Power operated vehicle, group 2 heavy duty, patient weight capacity 301 to 450 pounds
| 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 K0807 |
National average reimbursement for HCPCS K0807 by major payers:
$1,722.28
$1,533.50
$1,874.25
$3,206.93
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HCPCS K0807
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$5,111.97Published rateLower Oconee Community Hospital Inc
$1,542.47Published rateProgressive Emergency Physicians PLLC
$998.52Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$176.53Published rateMichael Koch
Pathology Lab Of Georgia LLC
$132.41Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS K0807 vs. Other Power Operated Vehicles Codes
The HCPCS K0807 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 K0807 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 |
|---|---|---|
| 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 |
| K0808-HCPCS | High | Power operated vehicle, group 2 very heavy duty, patient weight capacity 451 to 600 pounds |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0807. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0807 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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