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HCPCS K0812 · Level II · K code

K0812: Power operated vehicle, not otherwise classified, HCPCS Level II K code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for K0812

Medicare payment
none in these files
no PFS, DMEPOS, CLFS, OPPS or ASC amount; pricing indicator 32
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
0
MAI 3
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

K0812 is a Level II code from the K section (temporary codes for DME Medicare administrative contractors), in use since 2006: "Power operated vehicle, not otherwise classified". None of the October 2026 PFS, DMEPOS, CLFS, OPPS or ASC files lists a national amount for K0812; its HCPCS pricing indicator is 32 (DMEPOS inexpensive and routinely purchased DME (floors and ceilings)). MUE limits for K0812: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction). 1 active LCD lists K0812: L33789 (Power Mobility Devices). OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1D (wheelchairs); pricing indicator 32; type of service A (used DME), P (lump-sum purchase of DME, prosthetics or orthotics), R (rental of DME). 6 other active codes open with "Power operated vehicle"; related codes: K0800, K0808, K0807, K0806.

K0812 descriptor and code status

The October 2026 HCPCS Level II file describes K0812 as “Power operated vehicle, not otherwise classified”. It sits in the K section (temporary codes for DME Medicare administrative contractors), listed with the other K codes.

HCPCS file attributes of K0812
FieldValue
Short descriptorPower operated vehicle noc
Added to HCPCS2006-10-01
Last actionN (no maintenance), effective 2006-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator32: DMEPOS inexpensive and routinely purchased DME (floors and ceilings)
BETOS categoryD1D: wheelchairs
Type of serviceA: used DME; P: lump-sum purchase of DME, prosthetics or orthotics; R: rental of DME

Medicare payment for K0812

None of the October 2026 PFS, DMEPOS, CLFS, OPPS or ASC files lists a national amount for K0812; its HCPCS pricing indicator is 32 (DMEPOS inexpensive and routinely purchased DME (floors and ceilings)). The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Hospital outpatient (OPPS Addendum B)

Status indicator Y (Non-implantable DME), with no separate OPPS payment rate.

Medically Unlikely Edits for K0812

MUE limits for K0812: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for K0812 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for K0812 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists K0812 in v323r0.

K0812 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check K0812 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for K0812

1 active Local Coverage Determination and 0 billing and coding articles list K0812. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Denials to expect on K0812

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists K0812

CARC 151 · N362

units of K0812 exceed the practitioner MUE of 0 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for K0812 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for K0812 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS K0812

What does HCPCS code K0812 describe?

"Power operated vehicle, not otherwise classified" (short descriptor "Power operated vehicle noc"), in the K section (temporary codes for DME Medicare administrative contractors). Added 2006-10-01.

Is K0812 a CPT code?

No: CMS maintains K0812 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for K0812?

None of the October 2026 PFS, DMEPOS, CLFS, OPPS or ASC files lists a national amount for K0812; its HCPCS pricing indicator is 32 (DMEPOS inexpensive and routinely purchased DME (floors and ceilings)).

How many units of K0812 can be billed per day?

MUE limits for K0812: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction). For the practitioner MUE (MAI 3), units above 0 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover K0812?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 1 active LCD lists K0812: L33789 (Power Mobility Devices).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.