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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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

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