K0826 Insurance Policy Changes

HCPCS K0826 is officially defined as "Power wheelchair, group 2 very heavy duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds." HCPCS K0826 is referenced in 4 tracked payer policy changes from HealthPartners, Aetna, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS K0826 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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All billing codesJ35909921399214992129920399202

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