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HCPCS Level II · Temporary codes for DME regional carriers

K0891Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About K0891

K0891 is an HCPCS Level II code in the K series (temporary codes for DME regional carriers), describing power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds.

It was added to HCPCS effective 10/01/2006.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Pwc gp5 ped mult pow opt s/b
Date added
10/01/2006
Action effective
10/01/2006
BETOS
D1D

Related K08xx codes

Common questions about K0891

Is HCPCS K0891 still valid?

Yes. K0891 is active in the CMS October 2026 HCPCS file.

Does Medicare cover K0891?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.