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K0017 — Detachable, adjustable height armrest, base, replacement only, each

HCPCS Level II K-code · short descriptor: “Detach adjust armrest base”

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
Inexpensive or routinely purchased
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.

K0017 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $59.00 to $67.15 depending on state and rural status.

StateNon-ruralRural
AK$60.36
AL$59.00$60.88
AR$59.00$60.88
AZ$59.00$60.36
CA$59.00$60.36
CO$59.00$60.88
CT$59.00$60.88
DC$59.00$60.88
DE$59.00$60.88
FL$59.00$60.88
GA$59.00$60.88
HI$60.36
IA$59.00$60.36
ID$59.00$60.36
IL$59.00$60.88
IN$59.00$60.88
KS$59.00$60.36
KY$59.00$60.88
LA$59.00$60.88
MA$59.00$60.88
MD$59.00$60.88
ME$59.00$60.88
MI$59.00$60.88
MN$59.00$60.88
MO$59.00$60.88
MS$59.00$60.88
MT$59.00$60.36
NC$59.00$60.88
ND$59.00$60.36
NE$59.00$60.36
NH$59.00$60.88
NJ$59.00$60.88
NM$59.00$60.88
NV$59.00$60.36
NY$59.00$60.88
OH$59.00$60.88
OK$59.00$60.88
OR$59.00$60.36
PA$59.00$60.88
PR$67.15
RI$59.00$60.88
SC$59.00$60.88
SD$59.00$60.36
TN$59.00$60.88
TX$59.00$60.88
UT$59.00$60.88
VA$59.00$60.88
VI$60.88
VT$59.00$60.88
WA$59.00$60.88
WI$59.00$60.88
WV$59.00$60.88
WY$59.00$60.36

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $64.83 to $72.61 depending on state and rural status.

StateNon-ruralRural
AK$64.83
AL$65.44
AR$65.44
AZ$64.83
CA$64.83
CO$65.44
CT$65.44
DC$65.44
DE$65.44
FL$65.44
GA$65.44
HI$64.83
IA$64.83
ID$64.83
IL$65.44
IN$65.44
KS$64.83
KY$65.44
LA$65.44
MA$65.44
MD$65.44
ME$65.44
MI$65.44
MN$65.44
MO$65.44
MS$65.44
MT$64.83
NC$65.44
ND$64.83
NE$64.83
NH$65.44
NJ$65.44
NM$65.44
NV$64.83
NY$65.44
OH$65.44
OK$65.44
OR$64.83
PA$65.44
PR$72.61
RI$65.44
SC$65.44
SD$64.83
TN$65.44
TX$65.44
UT$65.44
VA$65.44
VI$65.44
VT$65.44
WA$65.44
WI$65.44
WV$65.44
WY$64.83

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $61.73 to $75.33 depending on state and rural status.

Former-CBA payment limits: ceiling $62.76 · floor $53.35

StateNon-ruralRural
AK$61.73
AL$62.76
AR$62.76
AZ$61.73
CA$61.73
CO$62.76
CT$62.76
DC$62.76
DE$62.76
FL$62.76
GA$62.76
HI$61.73
IA$61.73
ID$61.73
IL$62.76
IN$62.76
KS$61.73
KY$62.76
LA$62.76
MA$62.76
MD$62.76
ME$62.76
MI$62.76
MN$62.76
MO$62.76
MS$62.76
MT$61.73
NC$62.76
ND$61.73
NE$61.73
NH$62.76
NJ$62.76
NM$62.76
NV$61.73
NY$62.76
OH$62.76
OK$62.76
OR$61.73
PA$62.76
PR$75.33
RI$62.76
SC$62.76
SD$61.73
TN$62.76
TX$62.76
UT$62.76
VA$62.76
VI$62.76
VT$62.76
WA$62.76
WI$62.76
WV$62.76
WY$61.73

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $5.90 to $6.72 depending on state and rural status.

StateNon-ruralRural
AK$6.04
AL$5.90$6.09
AR$5.90$6.09
AZ$5.90$6.04
CA$5.90$6.04
CO$5.90$6.09
CT$5.90$6.09
DC$5.90$6.09
DE$5.90$6.09
FL$5.90$6.09
GA$5.90$6.09
HI$6.04
IA$5.90$6.04
ID$5.90$6.04
IL$5.90$6.09
IN$5.90$6.09
KS$5.90$6.04
KY$5.90$6.09
LA$5.90$6.09
MA$5.90$6.09
MD$5.90$6.09
ME$5.90$6.09
MI$5.90$6.09
MN$5.90$6.09
MO$5.90$6.09
MS$5.90$6.09
MT$5.90$6.04
NC$5.90$6.09
ND$5.90$6.04
NE$5.90$6.04
NH$5.90$6.09
NJ$5.90$6.09
NM$5.90$6.09
NV$5.90$6.04
NY$5.90$6.09
OH$5.90$6.09
OK$5.90$6.09
OR$5.90$6.04
PA$5.90$6.09
PR$6.72
RI$5.90$6.09
SC$5.90$6.09
SD$5.90$6.04
TN$5.90$6.09
TX$5.90$6.09
UT$5.90$6.09
VA$5.90$6.09
VI$6.09
VT$5.90$6.09
WA$5.90$6.09
WI$5.90$6.09
WV$5.90$6.09
WY$5.90$6.04

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.49 to $7.27 depending on state and rural status.

StateNon-ruralRural
AK$6.49
AL$6.54
AR$6.54
AZ$6.49
CA$6.49
CO$6.54
CT$6.54
DC$6.54
DE$6.54
FL$6.54
GA$6.54
HI$6.49
IA$6.49
ID$6.49
IL$6.54
IN$6.54
KS$6.49
KY$6.54
LA$6.54
MA$6.54
MD$6.54
ME$6.54
MI$6.54
MN$6.54
MO$6.54
MS$6.54
MT$6.49
NC$6.54
ND$6.49
NE$6.49
NH$6.54
NJ$6.54
NM$6.54
NV$6.49
NY$6.54
OH$6.54
OK$6.54
OR$6.49
PA$6.54
PR$7.27
RI$6.54
SC$6.54
SD$6.49
TN$6.54
TX$6.54
UT$6.54
VA$6.54
VI$6.54
VT$6.54
WA$6.54
WI$6.54
WV$6.54
WY$6.49

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.17 to $7.53 depending on state and rural status.

Former-CBA payment limits: ceiling $6.26 · floor $5.32

StateNon-ruralRural
AK$6.17
AL$6.26
AR$6.26
AZ$6.17
CA$6.17
CO$6.26
CT$6.26
DC$6.26
DE$6.26
FL$6.26
GA$6.26
HI$6.17
IA$6.17
ID$6.17
IL$6.26
IN$6.26
KS$6.17
KY$6.26
LA$6.26
MA$6.26
MD$6.26
ME$6.26
MI$6.26
MN$6.26
MO$6.26
MS$6.26
MT$6.17
NC$6.26
ND$6.17
NE$6.17
NH$6.26
NJ$6.26
NM$6.26
NV$6.17
NY$6.26
OH$6.26
OK$6.26
OR$6.17
PA$6.26
PR$7.53
RI$6.26
SC$6.26
SD$6.17
TN$6.26
TX$6.26
UT$6.26
VA$6.26
VI$6.26
VT$6.26
WA$6.26
WI$6.26
WV$6.26
WY$6.17

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $44.25 to $50.37 depending on state and rural status.

StateNon-ruralRural
AK$45.27
AL$44.25$45.67
AR$44.25$45.67
AZ$44.25$45.27
CA$44.25$45.27
CO$44.25$45.67
CT$44.25$45.67
DC$44.25$45.67
DE$44.25$45.67
FL$44.25$45.67
GA$44.25$45.67
HI$45.27
IA$44.25$45.27
ID$44.25$45.27
IL$44.25$45.67
IN$44.25$45.67
KS$44.25$45.27
KY$44.25$45.67
LA$44.25$45.67
MA$44.25$45.67
MD$44.25$45.67
ME$44.25$45.67
MI$44.25$45.67
MN$44.25$45.67
MO$44.25$45.67
MS$44.25$45.67
MT$44.25$45.27
NC$44.25$45.67
ND$44.25$45.27
NE$44.25$45.27
NH$44.25$45.67
NJ$44.25$45.67
NM$44.25$45.67
NV$44.25$45.27
NY$44.25$45.67
OH$44.25$45.67
OK$44.25$45.67
OR$44.25$45.27
PA$44.25$45.67
PR$50.37
RI$44.25$45.67
SC$44.25$45.67
SD$44.25$45.27
TN$44.25$45.67
TX$44.25$45.67
UT$44.25$45.67
VA$44.25$45.67
VI$45.67
VT$44.25$45.67
WA$44.25$45.67
WI$44.25$45.67
WV$44.25$45.67
WY$44.25$45.27

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $48.62 to $54.46 depending on state and rural status.

StateNon-ruralRural
AK$48.62
AL$49.08
AR$49.08
AZ$48.62
CA$48.62
CO$49.08
CT$49.08
DC$49.08
DE$49.08
FL$49.08
GA$49.08
HI$48.62
IA$48.62
ID$48.62
IL$49.08
IN$49.08
KS$48.62
KY$49.08
LA$49.08
MA$49.08
MD$49.08
ME$49.08
MI$49.08
MN$49.08
MO$49.08
MS$49.08
MT$48.62
NC$49.08
ND$48.62
NE$48.62
NH$49.08
NJ$49.08
NM$49.08
NV$48.62
NY$49.08
OH$49.08
OK$49.08
OR$48.62
PA$49.08
PR$54.46
RI$49.08
SC$49.08
SD$48.62
TN$49.08
TX$49.08
UT$49.08
VA$49.08
VI$49.08
VT$49.08
WA$49.08
WI$49.08
WV$49.08
WY$48.62

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $46.30 to $56.49 depending on state and rural status.

Former-CBA payment limits: ceiling $47.08 · floor $40.02

StateNon-ruralRural
AK$46.30
AL$47.08
AR$47.08
AZ$46.30
CA$46.30
CO$47.08
CT$47.08
DC$47.08
DE$47.08
FL$47.08
GA$47.08
HI$46.30
IA$46.30
ID$46.30
IL$47.08
IN$47.08
KS$46.30
KY$47.08
LA$47.08
MA$47.08
MD$47.08
ME$47.08
MI$47.08
MN$47.08
MO$47.08
MS$47.08
MT$46.30
NC$47.08
ND$46.30
NE$46.30
NH$47.08
NJ$47.08
NM$47.08
NV$46.30
NY$47.08
OH$47.08
OK$47.08
OR$46.30
PA$47.08
PR$56.49
RI$47.08
SC$47.08
SD$46.30
TN$47.08
TX$47.08
UT$47.08
VA$47.08
VI$47.08
VT$47.08
WA$47.08
WI$47.08
WV$47.08
WY$46.30
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.

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