Power Mobility Devices
National · Effective Oct 1, 2025
1 active Medicare policy lists K0857, and 8 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Oct 1, 2025
8 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of K0857 |
|---|---|---|
| Wheelchairs and Power Operated Vehicles (Scooters) | Oct 25, 2023 | Covered |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Powered Wheeled Mobility Devices | Jan 30, 2025 | Covered |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Wheelchairs and Accessories | Jan 1, 2026 | Covered |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Wheelchairs and Accessories | Jan 1, 2026 | Covered |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Wheelchairs and Accessories | Jan 1, 2026 | Covered |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Wheelchairs and Accessories | Jan 1, 2026 | Covered |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of K0857 |
|---|---|---|
| Power Wheelchairs: Group 2 and Group 3 | Oct 1, 2025 | Covered |