We have some exciting news to share as we kick off the holiday season!
Today, November 5, 2026, the Joint DME MACs announced that, effective December 20, 2026, the Power Mobility Devices (PMD) Local Coverage Determination (LCD) will be revised to include coverage for non-complex Group 2 power wheelchairs with seat elevation systems (HCPCS K0830 and K0831). Coverage will be available for beneficiaries whose primary means of mobility within the home is their power wheelchair and who rely on their upper extremities for transfers or mobility-related activities of daily living (MRADLs), provided that documentation from a licensed/certified medical professional (LCMP) confirms that the seat elevation system is medically necessary.
Please review the upcoming LCD revision below for additional details regarding the updated coverage criteria and documentation requirements.
Power Mobility Devices – Final LCD and Response to Comments (RTC) Article Published
Joint DME MAC Publication
Posted November 5, 2026
On November 5, 2026, the DME MACs published the following final Local Coverage Determination (LCD) and LCD-related Policy Article (PA):
- Power Mobility Devices LCD (L33789) and LCD-related PA (A52498)
The LCD incorporates finalized revisions, as a result of the LCD reconsideration process and written comments received during the comment period for the proposed LCD. The final LCD includes coverage criteria for non-complex Group 2 seat elevator power wheelchairs (PWCs) (K0830 and K0831) for beneficiaries whose primary means of mobility within the home is their PWC and who rely upon their upper extremities for transfers or mobility-related activities of daily living (MRADLs) when documentation from a licensed/certified medical professional (LCMP) confirms that the seat elevation system is medically necessary.
The posting of the final LCD marks the beginning of the 45-day notice period. The final LCD goes into effect for claims with dates of service on or after December 20, 2026.
Along with the final LCD and LCD-related PA, the DME MACs published a Response to Comments (RTC) Article which addresses the written comments received during the comment period. The RTC Article is as follows:
- Response to Comments: Power Mobility Devices – DL33789 (A60576)
Interested stakeholders may find the RTC document by searching for the article number in the Medicare Coverage Database. The RTC document is also located in the Associated Documents section of the LCD.
Please refer to each DME MAC website for additional information about policy development and access to the final LCD.