K0020 — Fixed, adjustable height armrest, pair
HCPCS Level II K-code · short descriptor: “Fixed adjust armrest pair”
- 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.
K0020 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $56.11 to $63.14 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $56.11 | — |
| AL | $57.07 | $57.07 |
| AR | $57.07 | $57.07 |
| AZ | $56.11 | $56.11 |
| CA | $56.11 | $56.11 |
| CO | $57.07 | $57.07 |
| CT | $57.07 | $57.07 |
| DC | $57.07 | $57.07 |
| DE | $57.07 | $57.07 |
| FL | $57.07 | $57.07 |
| GA | $57.07 | $57.07 |
| HI | $56.11 | — |
| IA | $56.11 | $56.11 |
| ID | $56.11 | $56.11 |
| IL | $57.07 | $57.07 |
| IN | $57.07 | $57.07 |
| KS | $56.11 | $56.11 |
| KY | $57.07 | $57.07 |
| LA | $57.07 | $57.07 |
| MA | $57.07 | $57.07 |
| MD | $57.07 | $57.07 |
| ME | $57.07 | $57.07 |
| MI | $57.07 | $57.07 |
| MN | $57.07 | $57.07 |
| MO | $57.07 | $57.07 |
| MS | $57.07 | $57.07 |
| MT | $56.11 | $56.11 |
| NC | $57.07 | $57.07 |
| ND | $56.11 | $56.11 |
| NE | $56.11 | $56.11 |
| NH | $57.07 | $57.07 |
| NJ | $57.07 | $57.07 |
| NM | $57.07 | $57.07 |
| NV | $56.11 | $56.11 |
| NY | $57.07 | $57.07 |
| OH | $57.07 | $57.07 |
| OK | $57.07 | $57.07 |
| OR | $56.11 | $56.11 |
| PA | $57.07 | $57.07 |
| PR | $63.14 | — |
| RI | $57.07 | $57.07 |
| SC | $57.07 | $57.07 |
| SD | $56.11 | $56.11 |
| TN | $57.07 | $57.07 |
| TX | $57.07 | $57.07 |
| UT | $57.07 | $57.07 |
| VA | $57.07 | $57.07 |
| VI | $57.07 | — |
| VT | $57.07 | $57.07 |
| WA | $57.07 | $57.07 |
| WI | $57.07 | $57.07 |
| WV | $57.07 | $57.07 |
| WY | $56.11 | $56.11 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $60.53 to $68.10 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $61.02 | — |
| AL | — | $61.57 |
| AR | — | $61.57 |
| AZ | — | $60.53 |
| CA | — | $60.53 |
| CO | — | $61.57 |
| CT | — | $61.57 |
| DC | — | $61.57 |
| DE | — | $61.57 |
| FL | — | $61.57 |
| GA | — | $61.57 |
| HI | $61.02 | — |
| IA | — | $60.53 |
| ID | — | $60.53 |
| IL | — | $61.57 |
| IN | — | $61.57 |
| KS | — | $60.53 |
| KY | — | $61.57 |
| LA | — | $61.57 |
| MA | — | $61.57 |
| MD | — | $61.57 |
| ME | — | $61.57 |
| MI | — | $61.57 |
| MN | — | $61.57 |
| MO | — | $61.57 |
| MS | — | $61.57 |
| MT | — | $60.53 |
| NC | — | $61.57 |
| ND | — | $60.53 |
| NE | — | $60.53 |
| NH | — | $61.57 |
| NJ | — | $61.57 |
| NM | — | $61.57 |
| NV | — | $60.53 |
| NY | — | $61.57 |
| OH | — | $61.57 |
| OK | — | $61.57 |
| OR | — | $60.53 |
| PA | — | $61.57 |
| PR | $68.10 | — |
| RI | — | $61.57 |
| SC | — | $61.57 |
| SD | — | $60.53 |
| TN | — | $61.57 |
| TX | — | $61.57 |
| UT | — | $61.57 |
| VA | — | $61.57 |
| VI | $61.58 | — |
| VT | — | $61.57 |
| WA | — | $61.57 |
| WI | — | $61.57 |
| WV | — | $61.57 |
| WY | — | $60.53 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $56.11 to $68.46 depending on state and rural status.
Former-CBA payment limits: ceiling $57.06 · floor $48.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $56.11 | — |
| AL | $57.06 | — |
| AR | $57.06 | — |
| AZ | $56.11 | — |
| CA | $56.11 | — |
| CO | $57.06 | — |
| CT | $57.06 | — |
| DC | $57.06 | — |
| DE | $57.06 | — |
| FL | $57.06 | — |
| GA | $57.06 | — |
| HI | $56.11 | — |
| IA | $56.11 | — |
| ID | $56.11 | — |
| IL | $57.06 | — |
| IN | $57.06 | — |
| KS | $56.11 | — |
| KY | $57.06 | — |
| LA | $57.06 | — |
| MA | $57.06 | — |
| MD | $57.06 | — |
| ME | $57.06 | — |
| MI | $57.06 | — |
| MN | $57.06 | — |
| MO | $57.06 | — |
| MS | $57.06 | — |
| MT | $56.11 | — |
| NC | $57.06 | — |
| ND | $56.11 | — |
| NE | $56.11 | — |
| NH | $57.06 | — |
| NJ | $57.06 | — |
| NM | $57.06 | — |
| NV | $56.11 | — |
| NY | $57.06 | — |
| OH | $57.06 | — |
| OK | $57.06 | — |
| OR | $56.11 | — |
| PA | $57.06 | — |
| PR | $68.46 | — |
| RI | $57.06 | — |
| SC | $57.06 | — |
| SD | $56.11 | — |
| TN | $57.06 | — |
| TX | $57.06 | — |
| UT | $57.06 | — |
| VA | $57.06 | — |
| VI | $57.06 | — |
| VT | $57.06 | — |
| WA | $57.06 | — |
| WI | $57.06 | — |
| WV | $57.06 | — |
| WY | $56.11 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.11 to $6.30 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.61 | — |
| AL | $5.71 | $5.71 |
| AR | $5.71 | $5.71 |
| AZ | $5.61 | $5.61 |
| CA | $5.61 | $5.61 |
| CO | $5.71 | $5.71 |
| CT | $5.71 | $5.71 |
| DC | $5.71 | $5.71 |
| DE | $5.71 | $5.71 |
| FL | $5.71 | $5.71 |
| GA | $5.71 | $5.71 |
| HI | $5.61 | — |
| IA | $5.61 | $5.61 |
| ID | $5.61 | $5.61 |
| IL | $5.71 | $5.71 |
| IN | $5.71 | $5.71 |
| KS | $5.61 | $5.61 |
| KY | $5.71 | $5.71 |
| LA | $5.71 | $5.71 |
| MA | $5.71 | $5.71 |
| MD | $5.71 | $5.71 |
| ME | $5.71 | $5.71 |
| MI | $5.71 | $5.71 |
| MN | $5.71 | $5.71 |
| MO | $5.71 | $5.71 |
| MS | $5.71 | $5.71 |
| MT | $5.61 | $5.61 |
| NC | $5.71 | $5.71 |
| ND | $5.61 | $5.61 |
| NE | $5.61 | $5.61 |
| NH | $5.71 | $5.71 |
| NJ | $5.71 | $5.71 |
| NM | $5.71 | $5.71 |
| NV | $5.61 | $5.61 |
| NY | $5.71 | $5.71 |
| OH | $5.71 | $5.71 |
| OK | $5.71 | $5.71 |
| OR | $5.61 | $5.61 |
| PA | $5.71 | $5.71 |
| PR | $6.30 | — |
| RI | $5.71 | $5.71 |
| SC | $5.71 | $5.71 |
| SD | $5.61 | $5.61 |
| TN | $5.71 | $5.71 |
| TX | $5.71 | $5.71 |
| UT | $5.11 | $5.11 |
| VA | $5.71 | $5.71 |
| VI | $5.71 | — |
| VT | $5.71 | $5.71 |
| WA | $5.71 | $5.71 |
| WI | $5.71 | $5.71 |
| WV | $5.71 | $5.71 |
| WY | $5.61 | $5.61 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.51 to $6.79 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.10 | — |
| AL | — | $6.16 |
| AR | — | $6.16 |
| AZ | — | $6.05 |
| CA | — | $6.05 |
| CO | — | $6.16 |
| CT | — | $6.16 |
| DC | — | $6.16 |
| DE | — | $6.16 |
| FL | — | $6.16 |
| GA | — | $6.16 |
| HI | $6.10 | — |
| IA | — | $6.05 |
| ID | — | $6.05 |
| IL | — | $6.16 |
| IN | — | $6.16 |
| KS | — | $6.05 |
| KY | — | $6.16 |
| LA | — | $6.16 |
| MA | — | $6.16 |
| MD | — | $6.16 |
| ME | — | $6.16 |
| MI | — | $6.16 |
| MN | — | $6.16 |
| MO | — | $6.16 |
| MS | — | $6.16 |
| MT | — | $6.05 |
| NC | — | $6.16 |
| ND | — | $6.05 |
| NE | — | $6.05 |
| NH | — | $6.16 |
| NJ | — | $6.16 |
| NM | — | $6.16 |
| NV | — | $6.05 |
| NY | — | $6.16 |
| OH | — | $6.16 |
| OK | — | $6.16 |
| OR | — | $6.05 |
| PA | — | $6.16 |
| PR | $6.79 | — |
| RI | — | $6.16 |
| SC | — | $6.16 |
| SD | — | $6.05 |
| TN | — | $6.16 |
| TX | — | $6.16 |
| UT | — | $5.51 |
| VA | — | $6.16 |
| VI | $6.16 | — |
| VT | — | $6.16 |
| WA | — | $6.16 |
| WI | — | $6.16 |
| WV | — | $6.16 |
| WY | — | $6.05 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.10 to $6.82 depending on state and rural status.
Former-CBA payment limits: ceiling $5.71 · floor $4.85
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.61 | — |
| AL | $5.71 | — |
| AR | $5.71 | — |
| AZ | $5.61 | — |
| CA | $5.61 | — |
| CO | $5.71 | — |
| CT | $5.71 | — |
| DC | $5.71 | — |
| DE | $5.71 | — |
| FL | $5.71 | — |
| GA | $5.71 | — |
| HI | $5.61 | — |
| IA | $5.61 | — |
| ID | $5.61 | — |
| IL | $5.71 | — |
| IN | $5.71 | — |
| KS | $5.61 | — |
| KY | $5.71 | — |
| LA | $5.71 | — |
| MA | $5.71 | — |
| MD | $5.71 | — |
| ME | $5.71 | — |
| MI | $5.71 | — |
| MN | $5.71 | — |
| MO | $5.71 | — |
| MS | $5.71 | — |
| MT | $5.61 | — |
| NC | $5.71 | — |
| ND | $5.61 | — |
| NE | $5.61 | — |
| NH | $5.71 | — |
| NJ | $5.71 | — |
| NM | $5.71 | — |
| NV | $5.61 | — |
| NY | $5.71 | — |
| OH | $5.71 | — |
| OK | $5.71 | — |
| OR | $5.61 | — |
| PA | $5.71 | — |
| PR | $6.82 | — |
| RI | $5.71 | — |
| SC | $5.71 | — |
| SD | $5.61 | — |
| TN | $5.71 | — |
| TX | $5.71 | — |
| UT | $5.10 | — |
| VA | $5.71 | — |
| VI | $5.71 | — |
| VT | $5.71 | — |
| WA | $5.71 | — |
| WI | $5.71 | — |
| WV | $5.71 | — |
| WY | $5.61 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $42.08 to $47.38 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $42.08 | — |
| AL | $42.79 | $42.79 |
| AR | $42.79 | $42.79 |
| AZ | $42.08 | $42.08 |
| CA | $42.08 | $42.08 |
| CO | $42.79 | $42.79 |
| CT | $42.79 | $42.79 |
| DC | $42.79 | $42.79 |
| DE | $42.79 | $42.79 |
| FL | $42.79 | $42.79 |
| GA | $42.79 | $42.79 |
| HI | $42.08 | — |
| IA | $42.08 | $42.08 |
| ID | $42.08 | $42.08 |
| IL | $42.79 | $42.79 |
| IN | $42.79 | $42.79 |
| KS | $42.08 | $42.08 |
| KY | $42.79 | $42.79 |
| LA | $42.79 | $42.79 |
| MA | $42.79 | $42.79 |
| MD | $42.79 | $42.79 |
| ME | $42.79 | $42.79 |
| MI | $42.79 | $42.79 |
| MN | $42.79 | $42.79 |
| MO | $42.79 | $42.79 |
| MS | $42.79 | $42.79 |
| MT | $42.08 | $42.08 |
| NC | $42.79 | $42.79 |
| ND | $42.08 | $42.08 |
| NE | $42.08 | $42.08 |
| NH | $42.79 | $42.79 |
| NJ | $42.79 | $42.79 |
| NM | $42.79 | $42.79 |
| NV | $42.08 | $42.08 |
| NY | $42.79 | $42.79 |
| OH | $42.79 | $42.79 |
| OK | $42.79 | $42.79 |
| OR | $42.08 | $42.08 |
| PA | $42.79 | $42.79 |
| PR | $47.38 | — |
| RI | $42.79 | $42.79 |
| SC | $42.79 | $42.79 |
| SD | $42.08 | $42.08 |
| TN | $42.79 | $42.79 |
| TX | $42.79 | $42.79 |
| UT | $42.79 | $42.79 |
| VA | $42.79 | $42.79 |
| VI | $42.79 | — |
| VT | $42.79 | $42.79 |
| WA | $42.79 | $42.79 |
| WI | $42.79 | $42.79 |
| WV | $42.79 | $42.79 |
| WY | $42.08 | $42.08 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $45.39 to $51.10 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $45.77 | — |
| AL | — | $46.17 |
| AR | — | $46.17 |
| AZ | — | $45.39 |
| CA | — | $45.39 |
| CO | — | $46.17 |
| CT | — | $46.17 |
| DC | — | $46.17 |
| DE | — | $46.17 |
| FL | — | $46.17 |
| GA | — | $46.17 |
| HI | $45.77 | — |
| IA | — | $45.39 |
| ID | — | $45.39 |
| IL | — | $46.17 |
| IN | — | $46.17 |
| KS | — | $45.39 |
| KY | — | $46.17 |
| LA | — | $46.17 |
| MA | — | $46.17 |
| MD | — | $46.17 |
| ME | — | $46.17 |
| MI | — | $46.17 |
| MN | — | $46.17 |
| MO | — | $46.17 |
| MS | — | $46.17 |
| MT | — | $45.39 |
| NC | — | $46.17 |
| ND | — | $45.39 |
| NE | — | $45.39 |
| NH | — | $46.17 |
| NJ | — | $46.17 |
| NM | — | $46.17 |
| NV | — | $45.39 |
| NY | — | $46.17 |
| OH | — | $46.17 |
| OK | — | $46.17 |
| OR | — | $45.39 |
| PA | — | $46.17 |
| PR | $51.10 | — |
| RI | — | $46.17 |
| SC | — | $46.17 |
| SD | — | $45.39 |
| TN | — | $46.17 |
| TX | — | $46.17 |
| UT | — | $46.17 |
| VA | — | $46.17 |
| VI | $46.18 | — |
| VT | — | $46.17 |
| WA | — | $46.17 |
| WI | — | $46.17 |
| WV | — | $46.17 |
| WY | — | $45.39 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $42.08 to $51.39 depending on state and rural status.
Former-CBA payment limits: ceiling $42.80 · floor $36.38
| State | Non-rural | Rural |
|---|---|---|
| AK | $42.08 | — |
| AL | $42.80 | — |
| AR | $42.80 | — |
| AZ | $42.08 | — |
| CA | $42.08 | — |
| CO | $42.80 | — |
| CT | $42.80 | — |
| DC | $42.80 | — |
| DE | $42.80 | — |
| FL | $42.80 | — |
| GA | $42.80 | — |
| HI | $42.08 | — |
| IA | $42.08 | — |
| ID | $42.08 | — |
| IL | $42.80 | — |
| IN | $42.80 | — |
| KS | $42.08 | — |
| KY | $42.80 | — |
| LA | $42.80 | — |
| MA | $42.80 | — |
| MD | $42.80 | — |
| ME | $42.80 | — |
| MI | $42.80 | — |
| MN | $42.80 | — |
| MO | $42.80 | — |
| MS | $42.80 | — |
| MT | $42.08 | — |
| NC | $42.80 | — |
| ND | $42.08 | — |
| NE | $42.08 | — |
| NH | $42.80 | — |
| NJ | $42.80 | — |
| NM | $42.80 | — |
| NV | $42.08 | — |
| NY | $42.80 | — |
| OH | $42.80 | — |
| OK | $42.80 | — |
| OR | $42.08 | — |
| PA | $42.80 | — |
| PR | $51.39 | — |
| RI | $42.80 | — |
| SC | $42.80 | — |
| SD | $42.08 | — |
| TN | $42.80 | — |
| TX | $42.80 | — |
| UT | $42.80 | — |
| VA | $42.80 | — |
| VI | $42.80 | — |
| VT | $42.80 | — |
| WA | $42.80 | — |
| WI | $42.80 | — |
| WV | $42.80 | — |
| WY | $42.08 | — |
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