K0018 — Detachable, adjustable height armrest, upper portion, replacement only, each
HCPCS Level II K-code · short descriptor: “Detach adjust armrst upper”
- 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
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 2
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
K0018 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.35 to $37.71 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $33.93 | — |
| AL | $33.35 | $34.21 |
| AR | $33.35 | $34.21 |
| AZ | $33.35 | $33.93 |
| CA | $33.35 | $33.93 |
| CO | $33.35 | $34.21 |
| CT | $33.35 | $34.21 |
| DC | $33.35 | $34.20 |
| DE | $33.35 | $34.21 |
| FL | $33.35 | $34.21 |
| GA | $33.35 | $34.21 |
| HI | $33.93 | — |
| IA | $33.35 | $33.93 |
| ID | $33.35 | $33.93 |
| IL | $33.35 | $34.20 |
| IN | $33.35 | $34.21 |
| KS | $33.35 | $33.93 |
| KY | $33.35 | $34.21 |
| LA | $33.35 | $34.21 |
| MA | $33.35 | $34.21 |
| MD | $33.35 | $34.20 |
| ME | $33.35 | $34.21 |
| MI | $33.35 | $34.21 |
| MN | $33.35 | $34.21 |
| MO | $33.35 | $34.21 |
| MS | $33.35 | $34.21 |
| MT | $33.35 | $33.93 |
| NC | $33.35 | $34.21 |
| ND | $33.35 | $33.93 |
| NE | $33.35 | $33.93 |
| NH | $33.35 | $34.21 |
| NJ | $33.35 | $34.21 |
| NM | $33.35 | $34.21 |
| NV | $33.35 | $33.93 |
| NY | $33.35 | $34.21 |
| OH | $33.35 | $34.20 |
| OK | $33.35 | $34.21 |
| OR | $33.35 | $33.93 |
| PA | $33.35 | $34.21 |
| PR | $37.71 | — |
| RI | $33.35 | $34.21 |
| SC | $33.35 | $34.21 |
| SD | $33.35 | $33.93 |
| TN | $33.35 | $34.21 |
| TX | $33.35 | $34.21 |
| UT | $33.35 | $34.21 |
| VA | $33.35 | $34.20 |
| VI | $34.21 | — |
| VT | $33.35 | $34.21 |
| WA | $33.35 | $34.21 |
| WI | $33.35 | $34.21 |
| WV | $33.35 | $34.20 |
| WY | $33.35 | $33.93 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $36.43 to $40.76 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $36.43 | — |
| AL | — | $36.75 |
| AR | — | $36.75 |
| AZ | — | $36.43 |
| CA | — | $36.43 |
| CO | — | $36.75 |
| CT | — | $36.75 |
| DC | — | $36.74 |
| DE | — | $36.75 |
| FL | — | $36.75 |
| GA | — | $36.75 |
| HI | $36.43 | — |
| IA | — | $36.43 |
| ID | — | $36.43 |
| IL | — | $36.74 |
| IN | — | $36.75 |
| KS | — | $36.43 |
| KY | — | $36.75 |
| LA | — | $36.75 |
| MA | — | $36.75 |
| MD | — | $36.74 |
| ME | — | $36.75 |
| MI | — | $36.75 |
| MN | — | $36.75 |
| MO | — | $36.75 |
| MS | — | $36.75 |
| MT | — | $36.43 |
| NC | — | $36.75 |
| ND | — | $36.43 |
| NE | — | $36.43 |
| NH | — | $36.75 |
| NJ | — | $36.75 |
| NM | — | $36.75 |
| NV | — | $36.43 |
| NY | — | $36.75 |
| OH | — | $36.74 |
| OK | — | $36.75 |
| OR | — | $36.43 |
| PA | — | $36.75 |
| PR | $40.76 | — |
| RI | — | $36.75 |
| SC | — | $36.75 |
| SD | — | $36.43 |
| TN | — | $36.75 |
| TX | — | $36.75 |
| UT | — | $36.75 |
| VA | — | $36.74 |
| VI | $36.75 | — |
| VT | — | $36.75 |
| WA | — | $36.75 |
| WI | — | $36.75 |
| WV | — | $36.74 |
| WY | — | $36.43 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $34.52 to $42.08 depending on state and rural status.
Former-CBA payment limits: ceiling $35.07 · floor $29.81
| State | Non-rural | Rural |
|---|---|---|
| AK | $34.52 | — |
| AL | $35.07 | — |
| AR | $35.07 | — |
| AZ | $34.52 | — |
| CA | $34.52 | — |
| CO | $35.07 | — |
| CT | $35.07 | — |
| DC | $35.06 | — |
| DE | $35.07 | — |
| FL | $35.07 | — |
| GA | $35.07 | — |
| HI | $34.52 | — |
| IA | $34.52 | — |
| ID | $34.52 | — |
| IL | $35.06 | — |
| IN | $35.07 | — |
| KS | $34.52 | — |
| KY | $35.07 | — |
| LA | $35.07 | — |
| MA | $35.07 | — |
| MD | $35.06 | — |
| ME | $35.07 | — |
| MI | $35.07 | — |
| MN | $35.07 | — |
| MO | $35.07 | — |
| MS | $35.07 | — |
| MT | $34.52 | — |
| NC | $35.07 | — |
| ND | $34.52 | — |
| NE | $34.52 | — |
| NH | $35.07 | — |
| NJ | $35.07 | — |
| NM | $35.07 | — |
| NV | $34.52 | — |
| NY | $35.07 | — |
| OH | $35.06 | — |
| OK | $35.07 | — |
| OR | $34.52 | — |
| PA | $35.07 | — |
| PR | $42.08 | — |
| RI | $35.07 | — |
| SC | $35.07 | — |
| SD | $34.52 | — |
| TN | $35.07 | — |
| TX | $35.07 | — |
| UT | $35.07 | — |
| VA | $35.06 | — |
| VI | $35.07 | — |
| VT | $35.07 | — |
| WA | $35.07 | — |
| WI | $35.07 | — |
| WV | $35.06 | — |
| WY | $34.52 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.34 to $3.78 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.39 | — |
| AL | $3.34 | $3.41 |
| AR | $3.34 | $3.41 |
| AZ | $3.34 | $3.39 |
| CA | $3.34 | $3.39 |
| CO | $3.34 | $3.41 |
| CT | $3.34 | $3.41 |
| DC | $3.34 | $3.41 |
| DE | $3.34 | $3.41 |
| FL | $3.34 | $3.41 |
| GA | $3.34 | $3.41 |
| HI | $3.39 | — |
| IA | $3.34 | $3.39 |
| ID | $3.34 | $3.39 |
| IL | $3.34 | $3.41 |
| IN | $3.34 | $3.41 |
| KS | $3.34 | $3.39 |
| KY | $3.34 | $3.41 |
| LA | $3.34 | $3.41 |
| MA | $3.34 | $3.41 |
| MD | $3.34 | $3.41 |
| ME | $3.34 | $3.41 |
| MI | $3.34 | $3.41 |
| MN | $3.34 | $3.41 |
| MO | $3.34 | $3.41 |
| MS | $3.34 | $3.41 |
| MT | $3.34 | $3.39 |
| NC | $3.34 | $3.41 |
| ND | $3.34 | $3.39 |
| NE | $3.34 | $3.39 |
| NH | $3.34 | $3.41 |
| NJ | $3.34 | $3.41 |
| NM | $3.34 | $3.41 |
| NV | $3.34 | $3.39 |
| NY | $3.34 | $3.41 |
| OH | $3.34 | $3.41 |
| OK | $3.34 | $3.41 |
| OR | $3.34 | $3.39 |
| PA | $3.34 | $3.41 |
| PR | $3.78 | — |
| RI | $3.34 | $3.41 |
| SC | $3.34 | $3.41 |
| SD | $3.34 | $3.39 |
| TN | $3.34 | $3.41 |
| TX | $3.34 | $3.41 |
| UT | $3.34 | $3.41 |
| VA | $3.34 | $3.41 |
| VI | $3.41 | — |
| VT | $3.34 | $3.41 |
| WA | $3.34 | $3.41 |
| WI | $3.34 | $3.41 |
| WV | $3.34 | $3.41 |
| WY | $3.34 | $3.39 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.64 to $4.09 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.64 | — |
| AL | — | $3.67 |
| AR | — | $3.67 |
| AZ | — | $3.64 |
| CA | — | $3.64 |
| CO | — | $3.67 |
| CT | — | $3.67 |
| DC | — | $3.67 |
| DE | — | $3.67 |
| FL | — | $3.67 |
| GA | — | $3.67 |
| HI | $3.64 | — |
| IA | — | $3.64 |
| ID | — | $3.64 |
| IL | — | $3.67 |
| IN | — | $3.67 |
| KS | — | $3.64 |
| KY | — | $3.67 |
| LA | — | $3.67 |
| MA | — | $3.67 |
| MD | — | $3.67 |
| ME | — | $3.67 |
| MI | — | $3.67 |
| MN | — | $3.67 |
| MO | — | $3.67 |
| MS | — | $3.67 |
| MT | — | $3.64 |
| NC | — | $3.67 |
| ND | — | $3.64 |
| NE | — | $3.64 |
| NH | — | $3.67 |
| NJ | — | $3.67 |
| NM | — | $3.67 |
| NV | — | $3.64 |
| NY | — | $3.67 |
| OH | — | $3.67 |
| OK | — | $3.67 |
| OR | — | $3.64 |
| PA | — | $3.67 |
| PR | $4.09 | — |
| RI | — | $3.67 |
| SC | — | $3.67 |
| SD | — | $3.64 |
| TN | — | $3.67 |
| TX | — | $3.67 |
| UT | — | $3.67 |
| VA | — | $3.67 |
| VI | $3.67 | — |
| VT | — | $3.67 |
| WA | — | $3.67 |
| WI | — | $3.67 |
| WV | — | $3.67 |
| WY | — | $3.64 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.45 to $4.24 depending on state and rural status.
Former-CBA payment limits: ceiling $3.51 · floor $2.98
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.45 | — |
| AL | $3.51 | — |
| AR | $3.51 | — |
| AZ | $3.45 | — |
| CA | $3.45 | — |
| CO | $3.51 | — |
| CT | $3.51 | — |
| DC | $3.51 | — |
| DE | $3.51 | — |
| FL | $3.51 | — |
| GA | $3.51 | — |
| HI | $3.45 | — |
| IA | $3.45 | — |
| ID | $3.45 | — |
| IL | $3.51 | — |
| IN | $3.51 | — |
| KS | $3.45 | — |
| KY | $3.51 | — |
| LA | $3.51 | — |
| MA | $3.51 | — |
| MD | $3.51 | — |
| ME | $3.51 | — |
| MI | $3.51 | — |
| MN | $3.51 | — |
| MO | $3.51 | — |
| MS | $3.51 | — |
| MT | $3.45 | — |
| NC | $3.51 | — |
| ND | $3.45 | — |
| NE | $3.45 | — |
| NH | $3.51 | — |
| NJ | $3.51 | — |
| NM | $3.51 | — |
| NV | $3.45 | — |
| NY | $3.51 | — |
| OH | $3.51 | — |
| OK | $3.51 | — |
| OR | $3.45 | — |
| PA | $3.51 | — |
| PR | $4.24 | — |
| RI | $3.51 | — |
| SC | $3.51 | — |
| SD | $3.45 | — |
| TN | $3.51 | — |
| TX | $3.51 | — |
| UT | $3.51 | — |
| VA | $3.51 | — |
| VI | $3.51 | — |
| VT | $3.51 | — |
| WA | $3.51 | — |
| WI | $3.51 | — |
| WV | $3.51 | — |
| WY | $3.45 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $25.02 to $28.29 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.45 | — |
| AL | $25.02 | $25.66 |
| AR | $25.02 | $25.66 |
| AZ | $25.02 | $25.45 |
| CA | $25.02 | $25.45 |
| CO | $25.02 | $25.66 |
| CT | $25.02 | $25.66 |
| DC | $25.02 | $25.66 |
| DE | $25.02 | $25.66 |
| FL | $25.02 | $25.66 |
| GA | $25.02 | $25.66 |
| HI | $25.45 | — |
| IA | $25.02 | $25.45 |
| ID | $25.02 | $25.45 |
| IL | $25.02 | $25.66 |
| IN | $25.02 | $25.66 |
| KS | $25.02 | $25.45 |
| KY | $25.02 | $25.66 |
| LA | $25.02 | $25.66 |
| MA | $25.02 | $25.66 |
| MD | $25.02 | $25.66 |
| ME | $25.02 | $25.66 |
| MI | $25.02 | $25.66 |
| MN | $25.02 | $25.66 |
| MO | $25.02 | $25.66 |
| MS | $25.02 | $25.66 |
| MT | $25.02 | $25.45 |
| NC | $25.02 | $25.66 |
| ND | $25.02 | $25.45 |
| NE | $25.02 | $25.45 |
| NH | $25.02 | $25.66 |
| NJ | $25.02 | $25.66 |
| NM | $25.02 | $25.66 |
| NV | $25.02 | $25.45 |
| NY | $25.02 | $25.66 |
| OH | $25.02 | $25.66 |
| OK | $25.02 | $25.66 |
| OR | $25.02 | $25.45 |
| PA | $25.02 | $25.66 |
| PR | $28.29 | — |
| RI | $25.02 | $25.66 |
| SC | $25.02 | $25.66 |
| SD | $25.02 | $25.45 |
| TN | $25.02 | $25.66 |
| TX | $25.02 | $25.66 |
| UT | $25.02 | $25.66 |
| VA | $25.02 | $25.66 |
| VI | $25.66 | — |
| VT | $25.02 | $25.66 |
| WA | $25.02 | $25.66 |
| WI | $25.02 | $25.66 |
| WV | $25.02 | $25.66 |
| WY | $25.02 | $25.45 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $27.33 to $30.58 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $27.33 | — |
| AL | — | $27.57 |
| AR | — | $27.57 |
| AZ | — | $27.33 |
| CA | — | $27.33 |
| CO | — | $27.57 |
| CT | — | $27.57 |
| DC | — | $27.57 |
| DE | — | $27.57 |
| FL | — | $27.57 |
| GA | — | $27.57 |
| HI | $27.33 | — |
| IA | — | $27.33 |
| ID | — | $27.33 |
| IL | — | $27.57 |
| IN | — | $27.57 |
| KS | — | $27.33 |
| KY | — | $27.57 |
| LA | — | $27.57 |
| MA | — | $27.57 |
| MD | — | $27.57 |
| ME | — | $27.57 |
| MI | — | $27.57 |
| MN | — | $27.57 |
| MO | — | $27.57 |
| MS | — | $27.57 |
| MT | — | $27.33 |
| NC | — | $27.57 |
| ND | — | $27.33 |
| NE | — | $27.33 |
| NH | — | $27.57 |
| NJ | — | $27.57 |
| NM | — | $27.57 |
| NV | — | $27.33 |
| NY | — | $27.57 |
| OH | — | $27.57 |
| OK | — | $27.57 |
| OR | — | $27.33 |
| PA | — | $27.57 |
| PR | $30.58 | — |
| RI | — | $27.57 |
| SC | — | $27.57 |
| SD | — | $27.33 |
| TN | — | $27.57 |
| TX | — | $27.57 |
| UT | — | $27.57 |
| VA | — | $27.57 |
| VI | $27.57 | — |
| VT | — | $27.57 |
| WA | — | $27.57 |
| WI | — | $27.57 |
| WV | — | $27.57 |
| WY | — | $27.33 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $25.88 to $31.57 depending on state and rural status.
Former-CBA payment limits: ceiling $26.32 · floor $22.37
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.88 | — |
| AL | $26.32 | — |
| AR | $26.32 | — |
| AZ | $25.88 | — |
| CA | $25.88 | — |
| CO | $26.32 | — |
| CT | $26.32 | — |
| DC | $26.32 | — |
| DE | $26.32 | — |
| FL | $26.32 | — |
| GA | $26.32 | — |
| HI | $25.88 | — |
| IA | $25.88 | — |
| ID | $25.88 | — |
| IL | $26.32 | — |
| IN | $26.32 | — |
| KS | $25.88 | — |
| KY | $26.32 | — |
| LA | $26.32 | — |
| MA | $26.32 | — |
| MD | $26.32 | — |
| ME | $26.32 | — |
| MI | $26.32 | — |
| MN | $26.32 | — |
| MO | $26.32 | — |
| MS | $26.32 | — |
| MT | $25.88 | — |
| NC | $26.32 | — |
| ND | $25.88 | — |
| NE | $25.88 | — |
| NH | $26.32 | — |
| NJ | $26.32 | — |
| NM | $26.32 | — |
| NV | $25.88 | — |
| NY | $26.32 | — |
| OH | $26.32 | — |
| OK | $26.32 | — |
| OR | $25.88 | — |
| PA | $26.32 | — |
| PR | $31.57 | — |
| RI | $26.32 | — |
| SC | $26.32 | — |
| SD | $25.88 | — |
| TN | $26.32 | — |
| TX | $26.32 | — |
| UT | $26.32 | — |
| VA | $26.32 | — |
| VI | $26.32 | — |
| VT | $26.32 | — |
| WA | $26.32 | — |
| WI | $26.32 | — |
| WV | $26.32 | — |
| WY | $25.88 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0018 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related K-codes
Bill K0018 with confidence
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