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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
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.

K0040 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $60.53 to $90.18 depending on state and rural status.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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
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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