K0015 — Detachable, non-adjustable height armrest, replacement only, each
HCPCS Level II K-code · short descriptor: “Detach non-adj ht armrst rep”
- Code system
- HCPCS Level II
- Family
- K — DME MAC temporary codes
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
K0015 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $15.43 to $24.28 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $21.85 | — |
| AL | $17.55 | $20.67 |
| AR | $17.55 | $20.67 |
| AZ | $17.29 | $20.48 |
| CA | $17.24 | $20.48 |
| CO | $18.91 | $20.67 |
| CT | $15.43 | $20.67 |
| DC | $15.60 | $20.63 |
| DE | $15.60 | $20.67 |
| FL | $17.55 | $20.67 |
| GA | $17.55 | $20.67 |
| HI | $21.85 | — |
| IA | $17.88 | $20.48 |
| ID | $18.91 | $20.48 |
| IL | $18.62 | $20.63 |
| IN | $18.62 | $20.67 |
| KS | $17.88 | $20.48 |
| KY | $17.55 | $20.67 |
| LA | $17.55 | $20.67 |
| MA | $15.43 | $20.67 |
| MD | $15.60 | $20.63 |
| ME | $15.43 | $20.67 |
| MI | $18.62 | $20.67 |
| MN | $17.88 | $20.67 |
| MO | $17.88 | $20.67 |
| MS | $17.55 | $20.67 |
| MT | $18.91 | $20.48 |
| NC | $17.55 | $20.67 |
| ND | $17.88 | $20.48 |
| NE | $17.88 | $20.48 |
| NH | $15.43 | $20.67 |
| NJ | $15.60 | $20.67 |
| NM | $17.29 | $20.67 |
| NV | $17.24 | $20.48 |
| NY | $15.60 | $20.67 |
| OH | $18.62 | $20.63 |
| OK | $17.29 | $20.67 |
| OR | $17.24 | $20.48 |
| PA | $15.60 | $20.67 |
| PR | $24.28 | — |
| RI | $15.43 | $20.67 |
| SC | $17.55 | $20.67 |
| SD | $17.88 | $20.48 |
| TN | $17.55 | $20.67 |
| TX | $17.29 | $20.67 |
| UT | $18.91 | $20.67 |
| VA | $17.55 | $20.63 |
| VI | $22.04 | — |
| VT | $15.43 | $20.67 |
| WA | $17.24 | $20.48 |
| WI | $18.62 | $20.67 |
| WV | $17.55 | $20.63 |
| WY | $18.91 | $20.48 |
RR + KE — Monthly rental Capped rental
Medicare allowable ranges from $22.07 to $26.22 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.44 | — |
| AL | — | $22.29 |
| AR | — | $22.29 |
| AZ | — | $22.07 |
| CA | — | $22.07 |
| CO | — | $22.29 |
| CT | — | $22.29 |
| DC | — | $22.24 |
| DE | — | $22.29 |
| FL | — | $22.29 |
| GA | — | $22.29 |
| HI | $23.44 | — |
| IA | — | $22.07 |
| ID | — | $22.07 |
| IL | — | $22.24 |
| IN | — | $22.29 |
| KS | — | $22.07 |
| KY | — | $22.29 |
| LA | — | $22.29 |
| MA | — | $22.29 |
| MD | — | $22.24 |
| ME | — | $22.29 |
| MI | — | $22.29 |
| MN | — | $22.29 |
| MO | — | $22.29 |
| MS | — | $22.29 |
| MT | — | $22.07 |
| NC | — | $22.29 |
| ND | — | $22.07 |
| NE | — | $22.07 |
| NH | — | $22.29 |
| NJ | — | $22.29 |
| NM | — | $22.29 |
| NV | — | $22.07 |
| NY | — | $22.29 |
| OH | — | $22.24 |
| OK | — | $22.29 |
| OR | — | $22.07 |
| PA | — | $22.29 |
| PR | $26.22 | — |
| RI | — | $22.29 |
| SC | — | $22.29 |
| SD | — | $22.07 |
| TN | — | $22.29 |
| TX | — | $22.29 |
| UT | — | $22.29 |
| VA | — | $22.24 |
| VI | $23.66 | — |
| VT | — | $22.29 |
| WA | — | $22.07 |
| WI | — | $22.29 |
| WV | — | $22.24 |
| WY | — | $22.07 |
RR + KU — Monthly rental Capped rental
Medicare allowable ranges from $21.93 to $26.80 depending on state and rural status.
Former-CBA payment limits: ceiling $22.32 · floor $18.97
| State | Non-rural | Rural |
|---|---|---|
| AK | $21.93 | — |
| AL | $22.32 | — |
| AR | $22.32 | — |
| AZ | $21.93 | — |
| CA | $21.93 | — |
| CO | $22.32 | — |
| CT | $22.32 | — |
| DC | $22.23 | — |
| DE | $22.32 | — |
| FL | $22.32 | — |
| GA | $22.32 | — |
| HI | $21.93 | — |
| IA | $21.93 | — |
| ID | $21.93 | — |
| IL | $22.23 | — |
| IN | $22.32 | — |
| KS | $21.93 | — |
| KY | $22.32 | — |
| LA | $22.32 | — |
| MA | $22.32 | — |
| MD | $22.23 | — |
| ME | $22.32 | — |
| MI | $22.32 | — |
| MN | $22.32 | — |
| MO | $22.32 | — |
| MS | $22.32 | — |
| MT | $21.93 | — |
| NC | $22.32 | — |
| ND | $21.93 | — |
| NE | $21.93 | — |
| NH | $22.32 | — |
| NJ | $22.32 | — |
| NM | $22.32 | — |
| NV | $21.93 | — |
| NY | $22.32 | — |
| OH | $22.23 | — |
| OK | $22.32 | — |
| OR | $21.93 | — |
| PA | $22.32 | — |
| PR | $26.80 | — |
| RI | $22.32 | — |
| SC | $22.32 | — |
| SD | $21.93 | — |
| TN | $22.32 | — |
| TX | $22.32 | — |
| UT | $22.32 | — |
| VA | $22.23 | — |
| VI | $22.32 | — |
| VT | $22.32 | — |
| WA | $21.93 | — |
| WI | $22.32 | — |
| WV | $22.23 | — |
| WY | $21.93 | — |
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