MyMedi-AI

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
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.

K0045 Medicare fee schedule (October 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 October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps K0045 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

CO-50 medical necessityCO-151 frequency/units

Related K-codes

K0001K0002K0003K0004K0005K0006K0007K0008K0009K0010K0011K0012

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