K0040 — Adjustable angle footplate, each
HCPCS Level II K-code · short descriptor: “Adjustable angle footplate”
- 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.
K0040 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $60.53 to $90.18 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $80.24 | — |
| AL | $65.47 | $81.02 |
| AR | $65.47 | $81.02 |
| AZ | $64.15 | $80.24 |
| CA | $64.17 | $80.24 |
| CO | $65.11 | $81.02 |
| CT | $60.53 | $81.02 |
| DC | $61.18 | $81.02 |
| DE | $61.18 | $81.02 |
| FL | $65.47 | $81.02 |
| GA | $65.47 | $81.02 |
| HI | $80.24 | — |
| IA | $64.38 | $80.24 |
| ID | $65.11 | $80.24 |
| IL | $65.32 | $81.02 |
| IN | $65.32 | $81.02 |
| KS | $64.38 | $80.24 |
| KY | $65.47 | $81.02 |
| LA | $65.47 | $81.02 |
| MA | $60.53 | $81.02 |
| MD | $61.18 | $81.02 |
| ME | $60.53 | $81.02 |
| MI | $65.32 | $81.02 |
| MN | $64.38 | $81.02 |
| MO | $64.38 | $81.02 |
| MS | $65.47 | $81.02 |
| MT | $65.11 | $80.24 |
| NC | $65.47 | $81.02 |
| ND | $64.38 | $80.24 |
| NE | $64.38 | $80.24 |
| NH | $60.53 | $81.02 |
| NJ | $61.18 | $81.02 |
| NM | $64.15 | $81.02 |
| NV | $64.17 | $80.24 |
| NY | $61.18 | $81.02 |
| OH | $65.32 | $81.02 |
| OK | $64.15 | $81.02 |
| OR | $64.17 | $80.24 |
| PA | $61.18 | $81.02 |
| PR | $90.18 | — |
| RI | $60.53 | $81.02 |
| SC | $65.47 | $81.02 |
| SD | $64.38 | $80.24 |
| TN | $65.47 | $81.02 |
| TX | $64.15 | $81.02 |
| UT | $65.11 | $81.02 |
| VA | $65.47 | $81.02 |
| VI | $81.02 | — |
| VT | $60.53 | $81.02 |
| WA | $64.17 | $81.02 |
| WI | $65.32 | $81.02 |
| WV | $65.47 | $81.02 |
| WY | $65.11 | $80.24 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $86.78 to $98.16 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $86.78 | — |
| AL | — | $87.67 |
| AR | — | $87.67 |
| AZ | — | $86.78 |
| CA | — | $86.78 |
| CO | — | $87.67 |
| CT | — | $87.67 |
| DC | — | $87.67 |
| DE | — | $87.67 |
| FL | — | $87.67 |
| GA | — | $87.67 |
| HI | $86.78 | — |
| IA | — | $86.78 |
| ID | — | $86.78 |
| IL | — | $87.67 |
| IN | — | $87.67 |
| KS | — | $86.78 |
| KY | — | $87.67 |
| LA | — | $87.67 |
| MA | — | $87.67 |
| MD | — | $87.67 |
| ME | — | $87.67 |
| MI | — | $87.67 |
| MN | — | $87.67 |
| MO | — | $87.67 |
| MS | — | $87.67 |
| MT | — | $86.78 |
| NC | — | $87.67 |
| ND | — | $86.78 |
| NE | — | $86.78 |
| NH | — | $87.67 |
| NJ | — | $87.67 |
| NM | — | $87.67 |
| NV | — | $86.78 |
| NY | — | $87.67 |
| OH | — | $87.67 |
| OK | — | $87.67 |
| OR | — | $86.78 |
| PA | — | $87.67 |
| PR | $98.16 | — |
| RI | — | $87.67 |
| SC | — | $87.67 |
| SD | — | $86.78 |
| TN | — | $87.67 |
| TX | — | $87.67 |
| UT | — | $87.67 |
| VA | — | $87.67 |
| VI | $87.67 | — |
| VT | — | $87.67 |
| WA | — | $87.67 |
| WI | — | $87.67 |
| WV | — | $87.67 |
| WY | — | $86.78 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $90.19 to $110.06 depending on state and rural status.
Former-CBA payment limits: ceiling $91.74 · floor $77.98
| State | Non-rural | Rural |
|---|---|---|
| AK | $90.19 | — |
| AL | $91.74 | — |
| AR | $91.74 | — |
| AZ | $90.19 | — |
| CA | $90.19 | — |
| CO | $91.74 | — |
| CT | $91.74 | — |
| DC | $91.74 | — |
| DE | $91.74 | — |
| FL | $91.74 | — |
| GA | $91.74 | — |
| HI | $90.19 | — |
| IA | $90.19 | — |
| ID | $90.19 | — |
| IL | $91.74 | — |
| IN | $91.74 | — |
| KS | $90.19 | — |
| KY | $91.74 | — |
| LA | $91.74 | — |
| MA | $91.74 | — |
| MD | $91.74 | — |
| ME | $91.74 | — |
| MI | $91.74 | — |
| MN | $91.74 | — |
| MO | $91.74 | — |
| MS | $91.74 | — |
| MT | $90.19 | — |
| NC | $91.74 | — |
| ND | $90.19 | — |
| NE | $90.19 | — |
| NH | $91.74 | — |
| NJ | $91.74 | — |
| NM | $91.74 | — |
| NV | $90.19 | — |
| NY | $91.74 | — |
| OH | $91.74 | — |
| OK | $91.74 | — |
| OR | $90.19 | — |
| PA | $91.74 | — |
| PR | $110.06 | — |
| RI | $91.74 | — |
| SC | $91.74 | — |
| SD | $90.19 | — |
| TN | $91.74 | — |
| TX | $91.74 | — |
| UT | $91.74 | — |
| VA | $91.74 | — |
| VI | $91.74 | — |
| VT | $91.74 | — |
| WA | $91.74 | — |
| WI | $91.74 | — |
| WV | $91.74 | — |
| WY | $90.19 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.05 to $9.02 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.02 | — |
| AL | $6.55 | $8.09 |
| AR | $6.55 | $8.09 |
| AZ | $6.41 | $8.02 |
| CA | $6.42 | $8.02 |
| CO | $6.51 | $8.09 |
| CT | $6.05 | $8.09 |
| DC | $6.12 | $8.09 |
| DE | $6.12 | $8.09 |
| FL | $6.55 | $8.09 |
| GA | $6.55 | $8.09 |
| HI | $8.02 | — |
| IA | $6.44 | $8.02 |
| ID | $6.51 | $8.02 |
| IL | $6.53 | $8.09 |
| IN | $6.53 | $8.09 |
| KS | $6.44 | $8.02 |
| KY | $6.55 | $8.09 |
| LA | $6.55 | $8.09 |
| MA | $6.05 | $8.09 |
| MD | $6.12 | $8.09 |
| ME | $6.05 | $8.09 |
| MI | $6.53 | $8.09 |
| MN | $6.44 | $8.09 |
| MO | $6.44 | $8.09 |
| MS | $6.55 | $8.09 |
| MT | $6.51 | $8.02 |
| NC | $6.55 | $8.09 |
| ND | $6.44 | $8.02 |
| NE | $6.44 | $8.02 |
| NH | $6.05 | $8.09 |
| NJ | $6.12 | $8.09 |
| NM | $6.41 | $8.09 |
| NV | $6.42 | $8.02 |
| NY | $6.12 | $8.09 |
| OH | $6.53 | $8.09 |
| OK | $6.41 | $8.09 |
| OR | $6.42 | $8.02 |
| PA | $6.12 | $8.09 |
| PR | $9.02 | — |
| RI | $6.05 | $8.09 |
| SC | $6.55 | $8.09 |
| SD | $6.44 | $8.02 |
| TN | $6.55 | $8.09 |
| TX | $6.41 | $8.09 |
| UT | $6.51 | $8.09 |
| VA | $6.55 | $8.09 |
| VI | $8.09 | — |
| VT | $6.05 | $8.09 |
| WA | $6.42 | $8.09 |
| WI | $6.53 | $8.09 |
| WV | $6.55 | $8.09 |
| WY | $6.51 | $8.02 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.68 to $9.82 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.68 | — |
| AL | — | $8.76 |
| AR | — | $8.76 |
| AZ | — | $8.68 |
| CA | — | $8.68 |
| CO | — | $8.76 |
| CT | — | $8.76 |
| DC | — | $8.76 |
| DE | — | $8.76 |
| FL | — | $8.76 |
| GA | — | $8.76 |
| HI | $8.68 | — |
| IA | — | $8.68 |
| ID | — | $8.68 |
| IL | — | $8.76 |
| IN | — | $8.76 |
| KS | — | $8.68 |
| KY | — | $8.76 |
| LA | — | $8.76 |
| MA | — | $8.76 |
| MD | — | $8.76 |
| ME | — | $8.76 |
| MI | — | $8.76 |
| MN | — | $8.76 |
| MO | — | $8.76 |
| MS | — | $8.76 |
| MT | — | $8.68 |
| NC | — | $8.76 |
| ND | — | $8.68 |
| NE | — | $8.68 |
| NH | — | $8.76 |
| NJ | — | $8.76 |
| NM | — | $8.76 |
| NV | — | $8.68 |
| NY | — | $8.76 |
| OH | — | $8.76 |
| OK | — | $8.76 |
| OR | — | $8.68 |
| PA | — | $8.76 |
| PR | $9.82 | — |
| RI | — | $8.76 |
| SC | — | $8.76 |
| SD | — | $8.68 |
| TN | — | $8.76 |
| TX | — | $8.76 |
| UT | — | $8.76 |
| VA | — | $8.76 |
| VI | $8.76 | — |
| VT | — | $8.76 |
| WA | — | $8.76 |
| WI | — | $8.76 |
| WV | — | $8.76 |
| WY | — | $8.68 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $9.02 to $11.02 depending on state and rural status.
Former-CBA payment limits: ceiling $9.15 · floor $7.78
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.02 | — |
| AL | $9.15 | — |
| AR | $9.15 | — |
| AZ | $9.02 | — |
| CA | $9.02 | — |
| CO | $9.15 | — |
| CT | $9.15 | — |
| DC | $9.15 | — |
| DE | $9.15 | — |
| FL | $9.15 | — |
| GA | $9.15 | — |
| HI | $9.02 | — |
| IA | $9.02 | — |
| ID | $9.02 | — |
| IL | $9.15 | — |
| IN | $9.15 | — |
| KS | $9.02 | — |
| KY | $9.15 | — |
| LA | $9.15 | — |
| MA | $9.15 | — |
| MD | $9.15 | — |
| ME | $9.15 | — |
| MI | $9.15 | — |
| MN | $9.15 | — |
| MO | $9.15 | — |
| MS | $9.15 | — |
| MT | $9.02 | — |
| NC | $9.15 | — |
| ND | $9.02 | — |
| NE | $9.02 | — |
| NH | $9.15 | — |
| NJ | $9.15 | — |
| NM | $9.15 | — |
| NV | $9.02 | — |
| NY | $9.15 | — |
| OH | $9.15 | — |
| OK | $9.15 | — |
| OR | $9.02 | — |
| PA | $9.15 | — |
| PR | $11.02 | — |
| RI | $9.15 | — |
| SC | $9.15 | — |
| SD | $9.02 | — |
| TN | $9.15 | — |
| TX | $9.15 | — |
| UT | $9.15 | — |
| VA | $9.15 | — |
| VI | $9.15 | — |
| VT | $9.15 | — |
| WA | $9.15 | — |
| WI | $9.15 | — |
| WV | $9.15 | — |
| WY | $9.02 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $45.40 to $67.65 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $60.19 | — |
| AL | $49.10 | $60.74 |
| AR | $49.10 | $60.74 |
| AZ | $48.11 | $60.19 |
| CA | $48.13 | $60.19 |
| CO | $48.84 | $60.74 |
| CT | $45.40 | $60.74 |
| DC | $45.89 | $60.74 |
| DE | $45.89 | $60.74 |
| FL | $49.10 | $60.74 |
| GA | $49.10 | $60.74 |
| HI | $60.19 | — |
| IA | $48.28 | $60.19 |
| ID | $48.84 | $60.19 |
| IL | $48.99 | $60.74 |
| IN | $48.99 | $60.74 |
| KS | $48.28 | $60.19 |
| KY | $49.10 | $60.74 |
| LA | $49.10 | $60.74 |
| MA | $45.40 | $60.74 |
| MD | $45.89 | $60.74 |
| ME | $45.40 | $60.74 |
| MI | $48.99 | $60.74 |
| MN | $48.28 | $60.74 |
| MO | $48.28 | $60.74 |
| MS | $49.10 | $60.74 |
| MT | $48.84 | $60.19 |
| NC | $49.10 | $60.74 |
| ND | $48.28 | $60.19 |
| NE | $48.28 | $60.19 |
| NH | $45.40 | $60.74 |
| NJ | $45.89 | $60.74 |
| NM | $48.11 | $60.74 |
| NV | $48.13 | $60.19 |
| NY | $45.89 | $60.74 |
| OH | $48.99 | $60.74 |
| OK | $48.11 | $60.74 |
| OR | $48.13 | $60.19 |
| PA | $45.89 | $60.74 |
| PR | $67.65 | — |
| RI | $45.40 | $60.74 |
| SC | $49.10 | $60.74 |
| SD | $48.28 | $60.19 |
| TN | $49.10 | $60.74 |
| TX | $48.11 | $60.74 |
| UT | $48.84 | $60.74 |
| VA | $49.10 | $60.74 |
| VI | $60.74 | — |
| VT | $45.40 | $60.74 |
| WA | $48.13 | $60.74 |
| WI | $48.99 | $60.74 |
| WV | $49.10 | $60.74 |
| WY | $48.84 | $60.19 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $65.09 to $73.63 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $65.09 | — |
| AL | — | $65.73 |
| AR | — | $65.73 |
| AZ | — | $65.09 |
| CA | — | $65.09 |
| CO | — | $65.73 |
| CT | — | $65.73 |
| DC | — | $65.73 |
| DE | — | $65.73 |
| FL | — | $65.73 |
| GA | — | $65.73 |
| HI | $65.09 | — |
| IA | — | $65.09 |
| ID | — | $65.09 |
| IL | — | $65.73 |
| IN | — | $65.73 |
| KS | — | $65.09 |
| KY | — | $65.73 |
| LA | — | $65.73 |
| MA | — | $65.73 |
| MD | — | $65.73 |
| ME | — | $65.73 |
| MI | — | $65.73 |
| MN | — | $65.73 |
| MO | — | $65.73 |
| MS | — | $65.73 |
| MT | — | $65.09 |
| NC | — | $65.73 |
| ND | — | $65.09 |
| NE | — | $65.09 |
| NH | — | $65.73 |
| NJ | — | $65.73 |
| NM | — | $65.73 |
| NV | — | $65.09 |
| NY | — | $65.73 |
| OH | — | $65.73 |
| OK | — | $65.73 |
| OR | — | $65.09 |
| PA | — | $65.73 |
| PR | $73.63 | — |
| RI | — | $65.73 |
| SC | — | $65.73 |
| SD | — | $65.09 |
| TN | — | $65.73 |
| TX | — | $65.73 |
| UT | — | $65.73 |
| VA | — | $65.73 |
| VI | $65.73 | — |
| VT | — | $65.73 |
| WA | — | $65.73 |
| WI | — | $65.73 |
| WV | — | $65.73 |
| WY | — | $65.09 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $67.64 to $82.56 depending on state and rural status.
Former-CBA payment limits: ceiling $68.75 · floor $58.44
| State | Non-rural | Rural |
|---|---|---|
| AK | $67.64 | — |
| AL | $68.75 | — |
| AR | $68.75 | — |
| AZ | $67.64 | — |
| CA | $67.64 | — |
| CO | $68.75 | — |
| CT | $68.75 | — |
| DC | $68.75 | — |
| DE | $68.75 | — |
| FL | $68.75 | — |
| GA | $68.75 | — |
| HI | $67.64 | — |
| IA | $67.64 | — |
| ID | $67.64 | — |
| IL | $68.75 | — |
| IN | $68.75 | — |
| KS | $67.64 | — |
| KY | $68.75 | — |
| LA | $68.75 | — |
| MA | $68.75 | — |
| MD | $68.75 | — |
| ME | $68.75 | — |
| MI | $68.75 | — |
| MN | $68.75 | — |
| MO | $68.75 | — |
| MS | $68.75 | — |
| MT | $67.64 | — |
| NC | $68.75 | — |
| ND | $67.64 | — |
| NE | $67.64 | — |
| NH | $68.75 | — |
| NJ | $68.75 | — |
| NM | $68.75 | — |
| NV | $67.64 | — |
| NY | $68.75 | — |
| OH | $68.75 | — |
| OK | $68.75 | — |
| OR | $67.64 | — |
| PA | $68.75 | — |
| PR | $82.56 | — |
| RI | $68.75 | — |
| SC | $68.75 | — |
| SD | $67.64 | — |
| TN | $68.75 | — |
| TX | $68.75 | — |
| UT | $68.75 | — |
| VA | $68.75 | — |
| VI | $68.75 | — |
| VT | $68.75 | — |
| WA | $68.75 | — |
| WI | $68.75 | — |
| WV | $68.75 | — |
| WY | $67.64 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0040 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
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