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K0039 — Leg strap, h style, each

HCPCS Level II K-code · short descriptor: “Leg strap h style 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
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.

K0039 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $63.32 to $71.37 depending on state and rural status.

StateNon-ruralRural
AK$64.20
AL$63.32$64.75
AR$63.32$64.75
AZ$63.32$64.20
CA$63.32$64.20
CO$63.32$64.75
CT$63.32$64.75
DC$63.32$64.75
DE$63.32$64.75
FL$63.32$64.75
GA$63.32$64.75
HI$64.20
IA$63.32$64.20
ID$63.32$64.20
IL$63.32$64.75
IN$63.32$64.75
KS$63.32$64.20
KY$63.32$64.75
LA$63.32$64.75
MA$63.32$64.75
MD$63.32$64.75
ME$63.32$64.75
MI$63.32$64.75
MN$63.32$64.75
MO$63.32$64.75
MS$63.32$64.75
MT$63.32$64.20
NC$63.32$64.75
ND$63.32$64.20
NE$63.32$64.20
NH$63.32$64.75
NJ$63.32$64.75
NM$63.32$64.75
NV$63.32$64.20
NY$63.32$64.75
OH$63.32$64.75
OK$63.32$64.75
OR$63.32$64.20
PA$63.32$64.75
PR$71.37
RI$63.32$64.75
SC$63.32$64.75
SD$63.32$64.20
TN$63.32$64.75
TX$63.32$64.75
UT$63.32$64.75
VA$63.32$64.75
VI$64.75
VT$63.32$64.75
WA$63.32$64.75
WI$63.32$64.75
WV$63.32$64.75
WY$63.32$64.20

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $68.92 to $77.13 depending on state and rural status.

StateNon-ruralRural
AK$68.92
AL$69.54
AR$69.54
AZ$68.92
CA$68.92
CO$69.54
CT$69.54
DC$69.54
DE$69.54
FL$69.54
GA$69.54
HI$68.92
IA$68.92
ID$68.92
IL$69.54
IN$69.54
KS$68.92
KY$69.54
LA$69.54
MA$69.54
MD$69.54
ME$69.54
MI$69.54
MN$69.54
MO$69.54
MS$69.54
MT$68.92
NC$69.54
ND$68.92
NE$68.92
NH$69.54
NJ$69.54
NM$69.54
NV$68.92
NY$69.54
OH$69.54
OK$69.54
OR$68.92
PA$69.54
PR$77.13
RI$69.54
SC$69.54
SD$68.92
TN$69.54
TX$69.54
UT$69.54
VA$69.54
VI$69.54
VT$69.54
WA$69.54
WI$69.54
WV$69.54
WY$68.92

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $65.09 to $79.42 depending on state and rural status.

Former-CBA payment limits: ceiling $66.18 · floor $56.25

StateNon-ruralRural
AK$65.09
AL$66.18
AR$66.18
AZ$65.09
CA$65.09
CO$66.18
CT$66.18
DC$66.18
DE$66.18
FL$66.18
GA$66.18
HI$65.09
IA$65.09
ID$65.09
IL$66.18
IN$66.18
KS$65.09
KY$66.18
LA$66.18
MA$66.18
MD$66.18
ME$66.18
MI$66.18
MN$66.18
MO$66.18
MS$66.18
MT$65.09
NC$66.18
ND$65.09
NE$65.09
NH$66.18
NJ$66.18
NM$66.18
NV$65.09
NY$66.18
OH$66.18
OK$66.18
OR$65.09
PA$66.18
PR$79.42
RI$66.18
SC$66.18
SD$65.09
TN$66.18
TX$66.18
UT$66.18
VA$66.18
VI$66.18
VT$66.18
WA$66.18
WI$66.18
WV$66.18
WY$65.09

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.33 to $7.14 depending on state and rural status.

StateNon-ruralRural
AK$6.44
AL$6.33$6.49
AR$6.33$6.49
AZ$6.33$6.44
CA$6.33$6.44
CO$6.33$6.49
CT$6.33$6.49
DC$6.33$6.49
DE$6.33$6.49
FL$6.33$6.49
GA$6.33$6.49
HI$6.44
IA$6.33$6.44
ID$6.33$6.44
IL$6.33$6.49
IN$6.33$6.49
KS$6.33$6.44
KY$6.33$6.49
LA$6.33$6.49
MA$6.33$6.49
MD$6.33$6.49
ME$6.33$6.49
MI$6.33$6.49
MN$6.33$6.49
MO$6.33$6.49
MS$6.33$6.49
MT$6.33$6.44
NC$6.33$6.49
ND$6.33$6.44
NE$6.33$6.44
NH$6.33$6.49
NJ$6.33$6.49
NM$6.33$6.49
NV$6.33$6.44
NY$6.33$6.49
OH$6.33$6.49
OK$6.33$6.49
OR$6.33$6.44
PA$6.33$6.49
PR$7.14
RI$6.33$6.49
SC$6.33$6.49
SD$6.33$6.44
TN$6.33$6.49
TX$6.33$6.49
UT$6.33$6.49
VA$6.33$6.49
VI$6.49
VT$6.33$6.49
WA$6.33$6.49
WI$6.33$6.49
WV$6.33$6.49
WY$6.33$6.44

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.91 to $7.72 depending on state and rural status.

StateNon-ruralRural
AK$6.91
AL$6.97
AR$6.97
AZ$6.91
CA$6.91
CO$6.97
CT$6.97
DC$6.97
DE$6.97
FL$6.97
GA$6.97
HI$6.91
IA$6.91
ID$6.91
IL$6.97
IN$6.97
KS$6.91
KY$6.97
LA$6.97
MA$6.97
MD$6.97
ME$6.97
MI$6.97
MN$6.97
MO$6.97
MS$6.97
MT$6.91
NC$6.97
ND$6.91
NE$6.91
NH$6.97
NJ$6.97
NM$6.97
NV$6.91
NY$6.97
OH$6.97
OK$6.97
OR$6.91
PA$6.97
PR$7.72
RI$6.97
SC$6.97
SD$6.91
TN$6.97
TX$6.97
UT$6.97
VA$6.97
VI$6.97
VT$6.97
WA$6.97
WI$6.97
WV$6.97
WY$6.91

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.56 to $7.94 depending on state and rural status.

Former-CBA payment limits: ceiling $6.66 · floor $5.66

StateNon-ruralRural
AK$6.56
AL$6.66
AR$6.66
AZ$6.56
CA$6.56
CO$6.66
CT$6.66
DC$6.66
DE$6.66
FL$6.66
GA$6.66
HI$6.56
IA$6.56
ID$6.56
IL$6.66
IN$6.66
KS$6.56
KY$6.66
LA$6.66
MA$6.66
MD$6.66
ME$6.66
MI$6.66
MN$6.66
MO$6.66
MS$6.66
MT$6.56
NC$6.66
ND$6.56
NE$6.56
NH$6.66
NJ$6.66
NM$6.66
NV$6.56
NY$6.66
OH$6.66
OK$6.66
OR$6.56
PA$6.66
PR$7.94
RI$6.66
SC$6.66
SD$6.56
TN$6.66
TX$6.66
UT$6.66
VA$6.66
VI$6.66
VT$6.66
WA$6.66
WI$6.66
WV$6.66
WY$6.56

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $47.49 to $53.54 depending on state and rural status.

StateNon-ruralRural
AK$48.14
AL$47.49$48.56
AR$47.49$48.56
AZ$47.49$48.14
CA$47.49$48.14
CO$47.49$48.56
CT$47.49$48.56
DC$47.49$48.56
DE$47.49$48.56
FL$47.49$48.56
GA$47.49$48.56
HI$48.14
IA$47.49$48.14
ID$47.49$48.14
IL$47.49$48.56
IN$47.49$48.56
KS$47.49$48.14
KY$47.49$48.56
LA$47.49$48.56
MA$47.49$48.56
MD$47.49$48.56
ME$47.49$48.56
MI$47.49$48.56
MN$47.49$48.56
MO$47.49$48.56
MS$47.49$48.56
MT$47.49$48.14
NC$47.49$48.56
ND$47.49$48.14
NE$47.49$48.14
NH$47.49$48.56
NJ$47.49$48.56
NM$47.49$48.56
NV$47.49$48.14
NY$47.49$48.56
OH$47.49$48.56
OK$47.49$48.56
OR$47.49$48.14
PA$47.49$48.56
PR$53.54
RI$47.49$48.56
SC$47.49$48.56
SD$47.49$48.14
TN$47.49$48.56
TX$47.49$48.56
UT$47.49$48.56
VA$47.49$48.56
VI$48.56
VT$47.49$48.56
WA$47.49$48.56
WI$47.49$48.56
WV$47.49$48.56
WY$47.49$48.14

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $51.68 to $57.86 depending on state and rural status.

StateNon-ruralRural
AK$51.68
AL$52.16
AR$52.16
AZ$51.68
CA$51.68
CO$52.16
CT$52.16
DC$52.16
DE$52.16
FL$52.16
GA$52.16
HI$51.68
IA$51.68
ID$51.68
IL$52.16
IN$52.16
KS$51.68
KY$52.16
LA$52.16
MA$52.16
MD$52.16
ME$52.16
MI$52.16
MN$52.16
MO$52.16
MS$52.16
MT$51.68
NC$52.16
ND$51.68
NE$51.68
NH$52.16
NJ$52.16
NM$52.16
NV$51.68
NY$52.16
OH$52.16
OK$52.16
OR$51.68
PA$52.16
PR$57.86
RI$52.16
SC$52.16
SD$51.68
TN$52.16
TX$52.16
UT$52.16
VA$52.16
VI$52.16
VT$52.16
WA$52.16
WI$52.16
WV$52.16
WY$51.68

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $48.78 to $59.58 depending on state and rural status.

Former-CBA payment limits: ceiling $49.64 · floor $42.19

StateNon-ruralRural
AK$48.78
AL$49.64
AR$49.64
AZ$48.78
CA$48.78
CO$49.64
CT$49.64
DC$49.64
DE$49.64
FL$49.64
GA$49.64
HI$48.78
IA$48.78
ID$48.78
IL$49.64
IN$49.64
KS$48.78
KY$49.64
LA$49.64
MA$49.64
MD$49.64
ME$49.64
MI$49.64
MN$49.64
MO$49.64
MS$49.64
MT$48.78
NC$49.64
ND$48.78
NE$48.78
NH$49.64
NJ$49.64
NM$49.64
NV$48.78
NY$49.64
OH$49.64
OK$49.64
OR$48.78
PA$49.64
PR$59.58
RI$49.64
SC$49.64
SD$48.78
TN$49.64
TX$49.64
UT$49.64
VA$49.64
VI$49.64
VT$49.64
WA$49.64
WI$49.64
WV$49.64
WY$48.78
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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