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K0045 — Footrest, complete assembly, replacement only, each

HCPCS Level II K-code · short descriptor: “Ftrst compl assembly repl 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
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.

K0045 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $59.11 to $163.22 depending on state and rural status.

StateNon-ruralRural
AK$163.22
AL$68.66$69.10
AR$68.66$69.10
AZ$68.66$69.10
CA$68.66$69.10
CO$68.66$69.10
CT$68.66$69.10
DC$68.66$69.10
DE$68.66$69.10
FL$68.66$69.10
GA$68.66$69.10
HI$109.00
IA$59.11$59.11
ID$59.11$59.11
IL$68.66$69.10
IN$68.66$69.10
KS$59.11$59.11
KY$68.66$69.10
LA$68.66$69.10
MA$68.66$69.10
MD$68.66$69.10
ME$68.66$69.10
MI$68.66$69.10
MN$68.66$69.10
MO$64.66$64.66
MS$68.66$69.10
MT$59.11$59.11
NC$68.66$69.10
ND$59.11$59.11
NE$59.11$59.11
NH$68.66$69.10
NJ$68.66$69.10
NM$68.66$69.10
NV$68.66$69.10
NY$68.66$69.10
OH$68.66$69.10
OK$68.66$69.10
OR$68.66$69.10
PA$68.66$69.10
PR$76.05
RI$68.66$69.10
SC$68.66$69.10
SD$59.11$59.11
TN$68.66$69.10
TX$68.66$69.10
UT$59.11$59.11
VA$68.66$69.10
VI$69.10
VT$68.66$69.10
WA$60.67$60.67
WI$68.66$69.10
WV$68.66$69.10
WY$59.11$59.11

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $63.78 to $181.91 depending on state and rural status.

StateNon-ruralRural
AK$181.91
AL$74.15
AR$74.15
AZ$74.15
CA$74.15
CO$74.15
CT$74.15
DC$74.15
DE$74.15
FL$74.15
GA$74.15
HI$119.83
IA$63.78
ID$63.78
IL$74.15
IN$74.15
KS$63.78
KY$74.15
LA$74.15
MA$74.15
MD$74.15
ME$74.15
MI$74.15
MN$74.15
MO$69.76
MS$74.15
MT$63.78
NC$74.15
ND$63.78
NE$63.78
NH$74.15
NJ$74.15
NM$74.15
NV$74.15
NY$74.15
OH$74.15
OK$74.15
OR$74.15
PA$74.15
PR$82.10
RI$74.15
SC$74.15
SD$63.78
TN$74.15
TX$74.15
UT$63.78
VA$74.15
VI$74.15
VT$74.15
WA$65.45
WI$74.15
WV$74.15
WY$63.78

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $59.12 to $257.77 depending on state and rural status.

Former-CBA payment limits: ceiling $69.55 · floor $59.12

StateNon-ruralRural
AK$257.77
AL$69.55
AR$69.55
AZ$69.55
CA$69.55
CO$69.55
CT$69.55
DC$69.55
DE$69.55
FL$69.55
GA$69.55
HI$149.33
IA$59.12
ID$59.12
IL$69.55
IN$69.55
KS$59.12
KY$69.55
LA$69.55
MA$69.55
MD$69.55
ME$69.55
MI$69.55
MN$69.55
MO$64.67
MS$69.55
MT$59.12
NC$69.55
ND$59.12
NE$59.12
NH$69.55
NJ$69.55
NM$69.55
NV$69.55
NY$69.55
OH$69.55
OK$69.55
OR$69.55
PA$69.55
PR$83.46
RI$69.55
SC$69.55
SD$59.12
TN$69.55
TX$69.55
UT$59.12
VA$69.55
VI$69.55
VT$69.55
WA$60.66
WI$69.55
WV$69.55
WY$59.12

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.09 to $16.34 depending on state and rural status.

StateNon-ruralRural
AK$16.34
AL$6.87$7.02
AR$6.87$7.02
AZ$6.87$7.02
CA$6.87$7.02
CO$6.87$7.02
CT$6.87$7.02
DC$6.87$6.91
DE$6.87$6.91
FL$6.87$6.91
GA$6.87$7.02
HI$10.90
IA$6.09$6.09
ID$6.09$6.09
IL$6.87$6.91
IN$6.87$7.02
KS$6.09$6.09
KY$6.87$7.02
LA$6.87$7.02
MA$6.87$7.02
MD$6.87$6.91
ME$6.87$7.02
MI$6.87$7.02
MN$6.87$7.02
MO$6.50$6.50
MS$6.87$7.02
MT$6.09$6.09
NC$6.87$7.02
ND$6.09$6.09
NE$6.09$6.09
NH$6.87$6.91
NJ$6.87$6.91
NM$6.87$7.02
NV$6.87$7.02
NY$6.87$6.91
OH$6.87$6.91
OK$6.87$7.02
OR$6.87$7.02
PA$6.87$6.91
PR$7.60
RI$6.87$6.91
SC$6.87$7.02
SD$6.09$6.09
TN$6.87$7.02
TX$6.87$6.91
UT$6.09$6.09
VA$6.87$6.91
VI$6.91
VT$6.87$7.02
WA$6.87$7.02
WI$6.87$7.02
WV$6.87$6.91
WY$6.09$6.09

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.57 to $18.22 depending on state and rural status.

StateNon-ruralRural
AK$18.22
AL$7.54
AR$7.54
AZ$7.54
CA$7.54
CO$7.54
CT$7.54
DC$7.41
DE$7.41
FL$7.41
GA$7.54
HI$11.98
IA$6.57
ID$6.57
IL$7.41
IN$7.54
KS$6.57
KY$7.54
LA$7.54
MA$7.54
MD$7.41
ME$7.54
MI$7.54
MN$7.54
MO$7.01
MS$7.54
MT$6.57
NC$7.54
ND$6.57
NE$6.57
NH$7.41
NJ$7.41
NM$7.54
NV$7.54
NY$7.41
OH$7.41
OK$7.54
OR$7.54
PA$7.41
PR$8.20
RI$7.41
SC$7.54
SD$6.57
TN$7.54
TX$7.41
UT$6.57
VA$7.41
VI$7.41
VT$7.54
WA$7.54
WI$7.54
WV$7.41
WY$6.57

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.09 to $25.83 depending on state and rural status.

Former-CBA payment limits: ceiling $7.16 · floor $6.09

StateNon-ruralRural
AK$25.83
AL$7.16
AR$7.16
AZ$7.16
CA$7.16
CO$7.16
CT$7.16
DC$6.96
DE$6.96
FL$6.96
GA$7.16
HI$14.91
IA$6.09
ID$6.09
IL$6.96
IN$7.16
KS$6.09
KY$7.16
LA$7.16
MA$7.16
MD$6.96
ME$7.16
MI$7.16
MN$7.16
MO$6.52
MS$7.16
MT$6.09
NC$7.16
ND$6.09
NE$6.09
NH$6.96
NJ$6.96
NM$7.16
NV$7.16
NY$6.96
OH$6.96
OK$7.16
OR$7.16
PA$6.96
PR$8.32
RI$6.96
SC$7.16
SD$6.09
TN$7.16
TX$6.96
UT$6.09
VA$6.96
VI$6.96
VT$7.16
WA$7.16
WI$7.16
WV$6.96
WY$6.09

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $44.35 to $122.66 depending on state and rural status.

StateNon-ruralRural
AK$122.66
AL$51.50$51.83
AR$51.50$51.83
AZ$51.50$51.83
CA$51.50$51.83
CO$51.50$51.83
CT$51.50$51.83
DC$51.50$51.83
DE$51.50$51.83
FL$51.50$51.83
GA$51.50$51.83
HI$81.76
IA$44.35$44.35
ID$44.35$44.35
IL$51.50$51.83
IN$51.50$51.83
KS$44.35$44.35
KY$51.50$51.83
LA$51.50$51.83
MA$51.50$51.83
MD$51.50$51.83
ME$51.50$51.83
MI$51.50$51.83
MN$51.50$51.83
MO$48.51$48.51
MS$51.50$51.83
MT$44.35$44.35
NC$51.50$51.83
ND$44.35$44.35
NE$44.35$44.35
NH$51.50$51.83
NJ$51.50$51.83
NM$51.50$51.83
NV$51.50$51.83
NY$51.50$51.83
OH$51.50$51.83
OK$51.50$51.83
OR$51.50$51.83
PA$51.50$51.83
PR$57.05
RI$51.50$51.83
SC$51.50$51.83
SD$44.35$44.35
TN$51.50$51.83
TX$51.50$51.83
UT$44.35$44.35
VA$51.50$51.83
VI$51.83
VT$51.50$51.83
WA$45.46$45.46
WI$51.50$51.83
WV$51.50$51.83
WY$44.35$44.35

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $47.85 to $136.71 depending on state and rural status.

StateNon-ruralRural
AK$136.71
AL$55.61
AR$55.61
AZ$55.61
CA$55.61
CO$55.61
CT$55.61
DC$55.61
DE$55.61
FL$55.61
GA$55.61
HI$89.88
IA$47.85
ID$47.85
IL$55.61
IN$55.61
KS$47.85
KY$55.61
LA$55.61
MA$55.61
MD$55.61
ME$55.61
MI$55.61
MN$55.61
MO$52.33
MS$55.61
MT$47.85
NC$55.61
ND$47.85
NE$47.85
NH$55.61
NJ$55.61
NM$55.61
NV$55.61
NY$55.61
OH$55.61
OK$55.61
OR$55.61
PA$55.61
PR$61.58
RI$55.61
SC$55.61
SD$47.85
TN$55.61
TX$55.61
UT$47.85
VA$55.61
VI$55.61
VT$55.61
WA$49.05
WI$55.61
WV$55.61
WY$47.85

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $44.35 to $193.83 depending on state and rural status.

Former-CBA payment limits: ceiling $52.18 · floor $44.35

StateNon-ruralRural
AK$193.83
AL$52.18
AR$52.18
AZ$52.18
CA$52.18
CO$52.18
CT$52.18
DC$52.18
DE$52.18
FL$52.18
GA$52.18
HI$112.02
IA$44.35
ID$44.35
IL$52.18
IN$52.18
KS$44.35
KY$52.18
LA$52.18
MA$52.18
MD$52.18
ME$52.18
MI$52.18
MN$52.18
MO$48.50
MS$52.18
MT$44.35
NC$52.18
ND$44.35
NE$44.35
NH$52.18
NJ$52.18
NM$52.18
NV$52.18
NY$52.18
OH$52.18
OK$52.18
OR$52.18
PA$52.18
PR$62.62
RI$52.18
SC$52.18
SD$44.35
TN$52.18
TX$52.18
UT$44.35
VA$52.18
VI$52.18
VT$52.18
WA$45.46
WI$52.18
WV$52.18
WY$44.35
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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