K0038 — Leg strap, each
HCPCS Level II K-code · short descriptor: “Leg strap each”
- 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 2026-10-26; 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 2026-10-26; 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.
K0038 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $29.30 to $32.64 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $29.30 | — |
| AL | $29.49 | $29.65 |
| AR | $29.49 | $29.65 |
| AZ | $29.30 | $29.30 |
| CA | $29.30 | $29.30 |
| CO | $29.49 | $29.65 |
| CT | $29.49 | $29.65 |
| DC | $29.49 | $29.65 |
| DE | $29.49 | $29.65 |
| FL | $29.49 | $29.65 |
| GA | $29.49 | $29.65 |
| HI | $29.30 | — |
| IA | $29.30 | $29.30 |
| ID | $29.30 | $29.30 |
| IL | $29.49 | $29.65 |
| IN | $29.49 | $29.65 |
| KS | $29.30 | $29.30 |
| KY | $29.49 | $29.65 |
| LA | $29.49 | $29.65 |
| MA | $29.49 | $29.65 |
| MD | $29.49 | $29.65 |
| ME | $29.49 | $29.65 |
| MI | $29.49 | $29.65 |
| MN | $29.49 | $29.65 |
| MO | $29.49 | $29.65 |
| MS | $29.49 | $29.65 |
| MT | $29.30 | $29.30 |
| NC | $29.49 | $29.65 |
| ND | $29.30 | $29.30 |
| NE | $29.30 | $29.30 |
| NH | $29.49 | $29.65 |
| NJ | $29.49 | $29.65 |
| NM | $29.49 | $29.65 |
| NV | $29.30 | $29.30 |
| NY | $29.49 | $29.65 |
| OH | $29.49 | $29.65 |
| OK | $29.49 | $29.65 |
| OR | $29.30 | $29.30 |
| PA | $29.49 | $29.65 |
| PR | $32.64 | — |
| RI | $29.49 | $29.65 |
| SC | $29.49 | $29.65 |
| SD | $29.30 | $29.30 |
| TN | $29.49 | $29.65 |
| TX | $29.49 | $29.65 |
| UT | $29.49 | $29.65 |
| VA | $29.49 | $29.65 |
| VI | $29.65 | — |
| VT | $29.49 | $29.65 |
| WA | $29.49 | $29.65 |
| WI | $29.49 | $29.65 |
| WV | $29.49 | $29.65 |
| WY | $29.30 | $29.30 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $31.52 to $35.23 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $31.52 | — |
| AL | — | $31.81 |
| AR | — | $31.81 |
| AZ | — | $31.52 |
| CA | — | $31.52 |
| CO | — | $31.81 |
| CT | — | $31.81 |
| DC | — | $31.81 |
| DE | — | $31.81 |
| FL | — | $31.81 |
| GA | — | $31.81 |
| HI | $31.52 | — |
| IA | — | $31.52 |
| ID | — | $31.52 |
| IL | — | $31.81 |
| IN | — | $31.81 |
| KS | — | $31.52 |
| KY | — | $31.81 |
| LA | — | $31.81 |
| MA | — | $31.81 |
| MD | — | $31.81 |
| ME | — | $31.81 |
| MI | — | $31.81 |
| MN | — | $31.81 |
| MO | — | $31.81 |
| MS | — | $31.81 |
| MT | — | $31.52 |
| NC | — | $31.81 |
| ND | — | $31.52 |
| NE | — | $31.52 |
| NH | — | $31.81 |
| NJ | — | $31.81 |
| NM | — | $31.81 |
| NV | — | $31.52 |
| NY | — | $31.81 |
| OH | — | $31.81 |
| OK | — | $31.81 |
| OR | — | $31.52 |
| PA | — | $31.81 |
| PR | $35.23 | — |
| RI | — | $31.81 |
| SC | — | $31.81 |
| SD | — | $31.52 |
| TN | — | $31.81 |
| TX | — | $31.81 |
| UT | — | $31.81 |
| VA | — | $31.81 |
| VI | $31.81 | — |
| VT | — | $31.81 |
| WA | — | $31.81 |
| WI | — | $31.81 |
| WV | — | $31.81 |
| WY | — | $31.52 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $29.29 to $35.78 depending on state and rural status.
Former-CBA payment limits: ceiling $29.82 · floor $25.35
| State | Non-rural | Rural |
|---|---|---|
| AK | $29.29 | — |
| AL | $29.82 | — |
| AR | $29.82 | — |
| AZ | $29.29 | — |
| CA | $29.29 | — |
| CO | $29.82 | — |
| CT | $29.82 | — |
| DC | $29.82 | — |
| DE | $29.82 | — |
| FL | $29.82 | — |
| GA | $29.82 | — |
| HI | $29.29 | — |
| IA | $29.29 | — |
| ID | $29.29 | — |
| IL | $29.82 | — |
| IN | $29.82 | — |
| KS | $29.29 | — |
| KY | $29.82 | — |
| LA | $29.82 | — |
| MA | $29.82 | — |
| MD | $29.82 | — |
| ME | $29.82 | — |
| MI | $29.82 | — |
| MN | $29.82 | — |
| MO | $29.82 | — |
| MS | $29.82 | — |
| MT | $29.29 | — |
| NC | $29.82 | — |
| ND | $29.29 | — |
| NE | $29.29 | — |
| NH | $29.82 | — |
| NJ | $29.82 | — |
| NM | $29.82 | — |
| NV | $29.29 | — |
| NY | $29.82 | — |
| OH | $29.82 | — |
| OK | $29.82 | — |
| OR | $29.29 | — |
| PA | $29.82 | — |
| PR | $35.78 | — |
| RI | $29.82 | — |
| SC | $29.82 | — |
| SD | $29.29 | — |
| TN | $29.82 | — |
| TX | $29.82 | — |
| UT | $29.82 | — |
| VA | $29.82 | — |
| VI | $29.82 | — |
| VT | $29.82 | — |
| WA | $29.82 | — |
| WI | $29.82 | — |
| WV | $29.82 | — |
| WY | $29.29 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.91 to $3.25 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.91 | — |
| AL | $2.95 | $2.96 |
| AR | $2.95 | $2.96 |
| AZ | $2.91 | $2.91 |
| CA | $2.91 | $2.91 |
| CO | $2.95 | $2.96 |
| CT | $2.95 | $2.96 |
| DC | $2.95 | $2.96 |
| DE | $2.95 | $2.96 |
| FL | $2.95 | $2.96 |
| GA | $2.95 | $2.96 |
| HI | $2.91 | — |
| IA | $2.91 | $2.91 |
| ID | $2.91 | $2.91 |
| IL | $2.95 | $2.96 |
| IN | $2.95 | $2.96 |
| KS | $2.91 | $2.91 |
| KY | $2.95 | $2.96 |
| LA | $2.95 | $2.96 |
| MA | $2.95 | $2.96 |
| MD | $2.95 | $2.96 |
| ME | $2.95 | $2.96 |
| MI | $2.95 | $2.96 |
| MN | $2.95 | $2.96 |
| MO | $2.95 | $2.96 |
| MS | $2.95 | $2.96 |
| MT | $2.91 | $2.91 |
| NC | $2.95 | $2.96 |
| ND | $2.91 | $2.91 |
| NE | $2.91 | $2.91 |
| NH | $2.95 | $2.96 |
| NJ | $2.95 | $2.96 |
| NM | $2.95 | $2.96 |
| NV | $2.91 | $2.91 |
| NY | $2.95 | $2.96 |
| OH | $2.95 | $2.96 |
| OK | $2.95 | $2.96 |
| OR | $2.91 | $2.91 |
| PA | $2.95 | $2.96 |
| PR | $3.25 | — |
| RI | $2.95 | $2.96 |
| SC | $2.95 | $2.96 |
| SD | $2.91 | $2.91 |
| TN | $2.95 | $2.96 |
| TX | $2.95 | $2.96 |
| UT | $2.95 | $2.96 |
| VA | $2.95 | $2.96 |
| VI | $2.96 | — |
| VT | $2.95 | $2.96 |
| WA | $2.95 | $2.96 |
| WI | $2.95 | $2.96 |
| WV | $2.95 | $2.96 |
| WY | $2.91 | $2.91 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $3.14 to $3.51 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $3.14 | — |
| AL | — | $3.18 |
| AR | — | $3.18 |
| AZ | — | $3.14 |
| CA | — | $3.14 |
| CO | — | $3.18 |
| CT | — | $3.18 |
| DC | — | $3.18 |
| DE | — | $3.18 |
| FL | — | $3.18 |
| GA | — | $3.18 |
| HI | $3.14 | — |
| IA | — | $3.14 |
| ID | — | $3.14 |
| IL | — | $3.18 |
| IN | — | $3.18 |
| KS | — | $3.14 |
| KY | — | $3.18 |
| LA | — | $3.18 |
| MA | — | $3.18 |
| MD | — | $3.18 |
| ME | — | $3.18 |
| MI | — | $3.18 |
| MN | — | $3.18 |
| MO | — | $3.18 |
| MS | — | $3.18 |
| MT | — | $3.14 |
| NC | — | $3.18 |
| ND | — | $3.14 |
| NE | — | $3.14 |
| NH | — | $3.18 |
| NJ | — | $3.18 |
| NM | — | $3.18 |
| NV | — | $3.14 |
| NY | — | $3.18 |
| OH | — | $3.18 |
| OK | — | $3.18 |
| OR | — | $3.14 |
| PA | — | $3.18 |
| PR | $3.51 | — |
| RI | — | $3.18 |
| SC | — | $3.18 |
| SD | — | $3.14 |
| TN | — | $3.18 |
| TX | — | $3.18 |
| UT | — | $3.18 |
| VA | — | $3.18 |
| VI | $3.18 | — |
| VT | — | $3.18 |
| WA | — | $3.18 |
| WI | — | $3.18 |
| WV | — | $3.18 |
| WY | — | $3.14 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.92 to $3.57 depending on state and rural status.
Former-CBA payment limits: ceiling $2.97 · floor $2.52
| State | Non-rural | Rural |
|---|---|---|
| AK | $2.92 | — |
| AL | $2.97 | — |
| AR | $2.97 | — |
| AZ | $2.92 | — |
| CA | $2.92 | — |
| CO | $2.97 | — |
| CT | $2.97 | — |
| DC | $2.97 | — |
| DE | $2.97 | — |
| FL | $2.97 | — |
| GA | $2.97 | — |
| HI | $2.92 | — |
| IA | $2.92 | — |
| ID | $2.92 | — |
| IL | $2.97 | — |
| IN | $2.97 | — |
| KS | $2.92 | — |
| KY | $2.97 | — |
| LA | $2.97 | — |
| MA | $2.97 | — |
| MD | $2.97 | — |
| ME | $2.97 | — |
| MI | $2.97 | — |
| MN | $2.97 | — |
| MO | $2.97 | — |
| MS | $2.97 | — |
| MT | $2.92 | — |
| NC | $2.97 | — |
| ND | $2.92 | — |
| NE | $2.92 | — |
| NH | $2.97 | — |
| NJ | $2.97 | — |
| NM | $2.97 | — |
| NV | $2.92 | — |
| NY | $2.97 | — |
| OH | $2.97 | — |
| OK | $2.97 | — |
| OR | $2.92 | — |
| PA | $2.97 | — |
| PR | $3.57 | — |
| RI | $2.97 | — |
| SC | $2.97 | — |
| SD | $2.92 | — |
| TN | $2.97 | — |
| TX | $2.97 | — |
| UT | $2.97 | — |
| VA | $2.97 | — |
| VI | $2.97 | — |
| VT | $2.97 | — |
| WA | $2.97 | — |
| WI | $2.97 | — |
| WV | $2.97 | — |
| WY | $2.92 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $21.96 to $24.47 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $21.96 | — |
| AL | $22.12 | $22.23 |
| AR | $22.12 | $22.23 |
| AZ | $21.96 | $21.96 |
| CA | $21.96 | $21.96 |
| CO | $22.12 | $22.23 |
| CT | $22.12 | $22.23 |
| DC | $22.12 | $22.23 |
| DE | $22.12 | $22.23 |
| FL | $22.12 | $22.23 |
| GA | $22.12 | $22.23 |
| HI | $21.96 | — |
| IA | $21.96 | $21.96 |
| ID | $21.96 | $21.96 |
| IL | $22.12 | $22.23 |
| IN | $22.12 | $22.23 |
| KS | $21.96 | $21.96 |
| KY | $22.12 | $22.23 |
| LA | $22.12 | $22.23 |
| MA | $22.12 | $22.23 |
| MD | $22.12 | $22.23 |
| ME | $22.12 | $22.23 |
| MI | $22.12 | $22.23 |
| MN | $22.12 | $22.23 |
| MO | $22.12 | $22.23 |
| MS | $22.12 | $22.23 |
| MT | $21.96 | $21.96 |
| NC | $22.12 | $22.23 |
| ND | $21.96 | $21.96 |
| NE | $21.96 | $21.96 |
| NH | $22.12 | $22.23 |
| NJ | $22.12 | $22.23 |
| NM | $22.12 | $22.23 |
| NV | $21.96 | $21.96 |
| NY | $22.12 | $22.23 |
| OH | $22.12 | $22.23 |
| OK | $22.12 | $22.23 |
| OR | $21.96 | $21.96 |
| PA | $22.12 | $22.23 |
| PR | $24.47 | — |
| RI | $22.12 | $22.23 |
| SC | $22.12 | $22.23 |
| SD | $21.96 | $21.96 |
| TN | $22.12 | $22.23 |
| TX | $22.12 | $22.23 |
| UT | $22.12 | $22.23 |
| VA | $22.12 | $22.23 |
| VI | $22.23 | — |
| VT | $22.12 | $22.23 |
| WA | $22.12 | $22.23 |
| WI | $22.12 | $22.23 |
| WV | $22.12 | $22.23 |
| WY | $21.96 | $21.96 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $23.63 to $26.41 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.63 | — |
| AL | — | $23.85 |
| AR | — | $23.85 |
| AZ | — | $23.63 |
| CA | — | $23.63 |
| CO | — | $23.85 |
| CT | — | $23.85 |
| DC | — | $23.85 |
| DE | — | $23.85 |
| FL | — | $23.85 |
| GA | — | $23.85 |
| HI | $23.63 | — |
| IA | — | $23.63 |
| ID | — | $23.63 |
| IL | — | $23.85 |
| IN | — | $23.85 |
| KS | — | $23.63 |
| KY | — | $23.85 |
| LA | — | $23.85 |
| MA | — | $23.85 |
| MD | — | $23.85 |
| ME | — | $23.85 |
| MI | — | $23.85 |
| MN | — | $23.85 |
| MO | — | $23.85 |
| MS | — | $23.85 |
| MT | — | $23.63 |
| NC | — | $23.85 |
| ND | — | $23.63 |
| NE | — | $23.63 |
| NH | — | $23.85 |
| NJ | — | $23.85 |
| NM | — | $23.85 |
| NV | — | $23.63 |
| NY | — | $23.85 |
| OH | — | $23.85 |
| OK | — | $23.85 |
| OR | — | $23.63 |
| PA | — | $23.85 |
| PR | $26.41 | — |
| RI | — | $23.85 |
| SC | — | $23.85 |
| SD | — | $23.63 |
| TN | — | $23.85 |
| TX | — | $23.85 |
| UT | — | $23.85 |
| VA | — | $23.85 |
| VI | $23.85 | — |
| VT | — | $23.85 |
| WA | — | $23.85 |
| WI | — | $23.85 |
| WV | — | $23.85 |
| WY | — | $23.63 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $21.95 to $26.84 depending on state and rural status.
Former-CBA payment limits: ceiling $22.34 · floor $18.99
| State | Non-rural | Rural |
|---|---|---|
| AK | $21.95 | — |
| AL | $22.34 | — |
| AR | $22.34 | — |
| AZ | $21.95 | — |
| CA | $21.95 | — |
| CO | $22.34 | — |
| CT | $22.34 | — |
| DC | $22.34 | — |
| DE | $22.34 | — |
| FL | $22.34 | — |
| GA | $22.34 | — |
| HI | $21.95 | — |
| IA | $21.95 | — |
| ID | $21.95 | — |
| IL | $22.34 | — |
| IN | $22.34 | — |
| KS | $21.95 | — |
| KY | $22.34 | — |
| LA | $22.34 | — |
| MA | $22.34 | — |
| MD | $22.34 | — |
| ME | $22.34 | — |
| MI | $22.34 | — |
| MN | $22.34 | — |
| MO | $22.34 | — |
| MS | $22.34 | — |
| MT | $21.95 | — |
| NC | $22.34 | — |
| ND | $21.95 | — |
| NE | $21.95 | — |
| NH | $22.34 | — |
| NJ | $22.34 | — |
| NM | $22.34 | — |
| NV | $21.95 | — |
| NY | $22.34 | — |
| OH | $22.34 | — |
| OK | $22.34 | — |
| OR | $21.95 | — |
| PA | $22.34 | — |
| PR | $26.84 | — |
| RI | $22.34 | — |
| SC | $22.34 | — |
| SD | $21.95 | — |
| TN | $22.34 | — |
| TX | $22.34 | — |
| UT | $22.34 | — |
| VA | $22.34 | — |
| VI | $22.34 | — |
| VT | $22.34 | — |
| WA | $22.34 | — |
| WI | $22.34 | — |
| WV | $22.34 | — |
| WY | $21.95 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0038 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related K-codes
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