MyMedi-AI

K0037 — High mount flip-up footrest, each

HCPCS Level II K-code · short descriptor: “Hi mount flip-up footrest ea”

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.

K0037 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $50.28 to $156.64 depending on state and rural status.

StateNon-ruralRural
AK$156.64—
AL$50.28$50.28
AR$50.28$50.28
AZ$55.51$57.33
CA$55.51$57.33
CO$55.51$57.33
CT$55.51$57.33
DC$55.51$57.33
DE$55.51$57.33
FL$55.51$57.33
GA$55.51$57.33
HI$102.43—
IA$55.51$56.97
ID$50.28$50.28
IL$55.51$57.33
IN$55.51$57.33
KS$50.28$50.28
KY$50.28$50.28
LA$50.28$50.28
MA$55.51$57.33
MD$55.51$57.33
ME$55.51$57.33
MI$50.28$50.28
MN$55.21$55.21
MO$55.51$57.33
MS$50.28$50.28
MT$50.28$50.28
NC$50.28$50.28
ND$50.28$50.28
NE$50.28$50.28
NH$55.51$57.33
NJ$55.51$57.33
NM$51.40$51.40
NV$55.51$57.33
NY$50.28$50.28
OH$50.28$50.28
OK$55.51$57.33
OR$55.51$57.33
PA$55.51$57.33
PR$70.12—
RI$55.51$57.33
SC$50.28$50.28
SD$50.92$50.92
TN$55.51$55.91
TX$55.51$57.33
UT$52.80$52.80
VA$50.28$50.28
VI$50.28—
VT$55.51$57.33
WA$55.51$57.33
WI$55.51$57.33
WV$50.28$50.28
WY$50.28$50.28

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $54.25 to $175.33 depending on state and rural status.

StateNon-ruralRural
AK$175.33—
AL—$54.25
AR—$54.25
AZ—$61.62
CA—$61.62
CO—$61.62
CT—$61.62
DC—$61.62
DE—$61.62
FL—$61.62
GA—$61.62
HI$113.26—
IA—$61.21
ID—$54.25
IL—$61.62
IN—$61.62
KS—$54.25
KY—$54.25
LA—$54.25
MA—$61.62
MD—$61.62
ME—$61.62
MI—$54.25
MN—$59.36
MO—$61.62
MS—$54.25
MT—$54.25
NC—$54.25
ND—$54.25
NE—$54.25
NH—$61.62
NJ—$61.62
NM—$55.45
NV—$61.62
NY—$54.25
OH—$54.25
OK—$61.62
OR—$61.62
PA—$61.62
PR$76.27—
RI—$61.62
SC—$54.25
SD—$54.94
TN—$59.99
TX—$61.62
UT—$56.96
VA—$54.25
VI$56.54—
VT—$61.62
WA—$61.62
WI—$61.62
WV—$54.25
WY—$54.25

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $50.29 to $257.77 depending on state and rural status.

Former-CBA payment limits: ceiling $59.16 · floor $50.29

StateNon-ruralRural
AK$257.77—
AL$50.29—
AR$50.29—
AZ$59.16—
CA$59.16—
CO$59.16—
CT$59.16—
DC$59.16—
DE$59.16—
FL$59.16—
GA$59.16—
HI$149.33—
IA$58.43—
ID$50.29—
IL$59.16—
IN$59.16—
KS$50.29—
KY$50.29—
LA$50.29—
MA$59.16—
MD$59.16—
ME$59.16—
MI$50.29—
MN$55.20—
MO$59.16—
MS$50.29—
MT$50.29—
NC$50.29—
ND$50.29—
NE$50.29—
NH$59.16—
NJ$59.16—
NM$51.39—
NV$59.16—
NY$50.29—
OH$50.29—
OK$59.16—
OR$59.16—
PA$59.16—
PR$84.76—
RI$59.16—
SC$50.29—
SD$50.93—
TN$56.31—
TX$59.16—
UT$52.80—
VA$50.29—
VI$50.29—
VT$59.16—
WA$59.16—
WI$59.16—
WV$50.29—
WY$50.29—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.48 to $15.69 depending on state and rural status.

StateNon-ruralRural
AK$15.69—
AL$4.48$4.48
AR$4.48$4.48
AZ$5.28$5.28
CA$5.28$5.28
CO$5.28$5.28
CT$5.28$5.28
DC$5.28$5.28
DE$5.28$5.28
FL$5.28$5.28
GA$5.28$5.28
HI$10.24—
IA$5.28$5.28
ID$4.48$4.48
IL$5.28$5.28
IN$5.28$5.28
KS$4.48$4.48
KY$4.48$4.48
LA$4.48$4.48
MA$4.88$4.88
MD$5.28$5.28
ME$4.88$4.88
MI$4.48$4.48
MN$5.28$5.28
MO$5.28$5.28
MS$4.48$4.48
MT$4.48$4.48
NC$4.48$4.48
ND$4.48$4.48
NE$4.48$4.48
NH$4.88$4.88
NJ$5.28$5.28
NM$5.15$5.15
NV$5.28$5.28
NY$4.62$4.62
OH$4.48$4.48
OK$5.28$5.28
OR$5.28$5.28
PA$5.28$5.28
PR$8.06—
RI$4.81$4.81
SC$4.48$4.48
SD$5.12$5.12
TN$5.28$5.28
TX$5.28$5.28
UT$5.28$5.28
VA$4.48$4.48
VI$4.62—
VT$5.28$5.28
WA$5.28$5.28
WI$5.28$5.28
WV$4.61$4.61
WY$4.48$4.48

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.83 to $17.56 depending on state and rural status.

StateNon-ruralRural
AK$17.56—
AL—$4.83
AR—$4.83
AZ—$5.69
CA—$5.69
CO—$5.69
CT—$5.69
DC—$5.69
DE—$5.69
FL—$5.69
GA—$5.69
HI$11.32—
IA—$5.69
ID—$4.83
IL—$5.69
IN—$5.69
KS—$4.83
KY—$4.83
LA—$4.83
MA—$5.26
MD—$5.69
ME—$5.26
MI—$4.83
MN—$5.69
MO—$5.69
MS—$4.83
MT—$4.83
NC—$4.83
ND—$4.83
NE—$4.83
NH—$5.26
NJ—$5.69
NM—$5.55
NV—$5.69
NY—$4.99
OH—$4.83
OK—$5.69
OR—$5.69
PA—$5.69
PR$8.83—
RI—$5.19
SC—$4.83
SD—$5.53
TN—$5.69
TX—$5.69
UT—$5.69
VA—$4.83
VI$5.29—
VT—$5.69
WA—$5.69
WI—$5.69
WV—$4.97
WY—$4.83

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.49 to $25.83 depending on state and rural status.

Former-CBA payment limits: ceiling $5.28 · floor $4.49

StateNon-ruralRural
AK$25.83—
AL$4.49—
AR$4.49—
AZ$5.28—
CA$5.28—
CO$5.28—
CT$5.28—
DC$5.28—
DE$5.28—
FL$5.28—
GA$5.28—
HI$14.91—
IA$5.28—
ID$4.49—
IL$5.28—
IN$5.28—
KS$4.49—
KY$4.49—
LA$4.49—
MA$4.88—
MD$5.28—
ME$4.88—
MI$4.49—
MN$5.28—
MO$5.28—
MS$4.49—
MT$4.49—
NC$4.49—
ND$4.49—
NE$4.49—
NH$4.88—
NJ$5.28—
NM$5.13—
NV$5.28—
NY$4.63—
OH$4.49—
OK$5.28—
OR$5.28—
PA$5.28—
PR$10.58—
RI$4.83—
SC$4.49—
SD$5.11—
TN$5.28—
TX$5.28—
UT$5.28—
VA$4.49—
VI$4.63—
VT$5.28—
WA$5.28—
WI$5.28—
WV$4.61—
WY$4.49—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $37.72 to $117.51 depending on state and rural status.

StateNon-ruralRural
AK$117.51—
AL$37.72$37.72
AR$37.72$37.72
AZ$41.64$43.01
CA$41.64$43.01
CO$41.64$43.01
CT$41.64$43.01
DC$41.64$43.01
DE$41.64$43.01
FL$41.64$43.01
GA$41.64$43.01
HI$76.83—
IA$41.64$42.72
ID$37.72$37.72
IL$41.64$43.01
IN$41.64$43.01
KS$37.72$37.72
KY$37.72$37.72
LA$37.72$37.72
MA$41.64$43.01
MD$41.64$43.01
ME$41.64$43.01
MI$37.72$37.72
MN$41.41$41.41
MO$41.64$43.01
MS$37.72$37.72
MT$37.72$37.72
NC$37.72$37.72
ND$37.72$37.72
NE$37.72$37.72
NH$41.64$43.01
NJ$41.64$43.01
NM$38.51$38.51
NV$41.64$43.01
NY$37.72$37.72
OH$37.72$37.72
OK$41.64$43.01
OR$41.64$43.01
PA$41.64$43.01
PR$52.58—
RI$41.64$43.01
SC$37.72$37.72
SD$38.20$38.20
TN$41.64$41.93
TX$41.64$43.01
UT$39.62$39.62
VA$37.72$37.72
VI$37.72—
VT$41.64$43.01
WA$41.64$43.01
WI$41.64$43.01
WV$37.72$37.72
WY$37.72$37.72

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $40.70 to $131.53 depending on state and rural status.

StateNon-ruralRural
AK$131.53—
AL—$40.70
AR—$40.70
AZ—$46.23
CA—$46.23
CO—$46.23
CT—$46.23
DC—$46.23
DE—$46.23
FL—$46.23
GA—$46.23
HI$84.95—
IA—$45.90
ID—$40.70
IL—$46.23
IN—$46.23
KS—$40.70
KY—$40.70
LA—$40.70
MA—$46.23
MD—$46.23
ME—$46.23
MI—$40.70
MN—$44.52
MO—$46.23
MS—$40.70
MT—$40.70
NC—$40.70
ND—$40.70
NE—$40.70
NH—$46.23
NJ—$46.23
NM—$41.54
NV—$46.23
NY—$40.70
OH—$40.70
OK—$46.23
OR—$46.23
PA—$46.23
PR$57.19—
RI—$46.23
SC—$40.70
SD—$41.21
TN—$44.99
TX—$46.23
UT—$42.75
VA—$40.70
VI$42.41—
VT—$46.23
WA—$46.23
WI—$46.23
WV—$40.70
WY—$40.70

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $37.72 to $193.38 depending on state and rural status.

Former-CBA payment limits: ceiling $44.38 · floor $37.72

StateNon-ruralRural
AK$193.38—
AL$37.72—
AR$37.72—
AZ$44.38—
CA$44.38—
CO$44.38—
CT$44.38—
DC$44.38—
DE$44.38—
FL$44.38—
GA$44.38—
HI$112.02—
IA$43.82—
ID$37.72—
IL$44.38—
IN$44.38—
KS$37.72—
KY$37.72—
LA$37.72—
MA$44.38—
MD$44.38—
ME$44.38—
MI$37.72—
MN$41.39—
MO$44.38—
MS$37.72—
MT$37.72—
NC$37.72—
ND$37.72—
NE$37.72—
NH$44.38—
NJ$44.38—
NM$38.49—
NV$44.38—
NY$37.72—
OH$37.72—
OK$44.38—
OR$44.38—
PA$44.38—
PR$63.52—
RI$44.38—
SC$37.72—
SD$38.20—
TN$42.23—
TX$44.38—
UT$39.63—
VA$37.72—
VI$37.72—
VT$44.38—
WA$44.38—
WI$44.38—
WV$37.72—
WY$37.72—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps K0037 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

CO-50 medical necessityCO-151 frequency/units

Related K-codes

K0001K0002K0003K0004K0005K0006K0007K0008K0009K0010K0011K0012

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