K0047 — Elevating legrest, upper hanger bracket, replacement only, each
HCPCS Level II K-code · short descriptor: “Elev legrst upr hangr rep 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.
K0047 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $85.33 to $99.03 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $88.84 | — |
| AL | $85.33 | $89.63 |
| AR | $85.33 | $89.63 |
| AZ | $85.33 | $88.84 |
| CA | $85.33 | $88.84 |
| CO | $85.33 | $89.63 |
| CT | $85.33 | $89.63 |
| DC | $85.33 | $89.63 |
| DE | $85.33 | $89.63 |
| FL | $85.33 | $89.63 |
| GA | $85.33 | $89.63 |
| HI | $88.84 | — |
| IA | $85.33 | $88.84 |
| ID | $85.33 | $88.84 |
| IL | $85.33 | $89.63 |
| IN | $85.33 | $89.63 |
| KS | $85.33 | $88.84 |
| KY | $85.33 | $89.63 |
| LA | $85.33 | $89.63 |
| MA | $85.33 | $89.63 |
| MD | $85.33 | $89.63 |
| ME | $85.33 | $89.63 |
| MI | $85.33 | $89.63 |
| MN | $85.33 | $89.63 |
| MO | $85.33 | $89.63 |
| MS | $85.33 | $89.63 |
| MT | $85.33 | $88.84 |
| NC | $85.33 | $89.63 |
| ND | $85.33 | $88.84 |
| NE | $85.33 | $88.84 |
| NH | $85.33 | $89.63 |
| NJ | $85.33 | $89.63 |
| NM | $85.33 | $89.63 |
| NV | $85.33 | $88.84 |
| NY | $85.33 | $89.63 |
| OH | $85.33 | $89.63 |
| OK | $85.33 | $89.63 |
| OR | $85.33 | $88.84 |
| PA | $85.33 | $89.63 |
| PR | $99.03 | — |
| RI | $85.33 | $89.63 |
| SC | $85.33 | $89.63 |
| SD | $85.33 | $88.84 |
| TN | $85.33 | $89.63 |
| TX | $85.33 | $89.63 |
| UT | $85.33 | $89.63 |
| VA | $85.33 | $89.63 |
| VI | $89.63 | — |
| VT | $85.33 | $89.63 |
| WA | $85.33 | $89.63 |
| WI | $85.33 | $89.63 |
| WV | $85.33 | $89.63 |
| WY | $85.33 | $88.84 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $95.53 to $107.20 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $95.53 | — |
| AL | — | $96.44 |
| AR | — | $96.44 |
| AZ | — | $95.53 |
| CA | — | $95.53 |
| CO | — | $96.44 |
| CT | — | $96.44 |
| DC | — | $96.44 |
| DE | — | $96.44 |
| FL | — | $96.44 |
| GA | — | $96.44 |
| HI | $95.53 | — |
| IA | — | $95.53 |
| ID | — | $95.53 |
| IL | — | $96.44 |
| IN | — | $96.44 |
| KS | — | $95.53 |
| KY | — | $96.44 |
| LA | — | $96.44 |
| MA | — | $96.44 |
| MD | — | $96.44 |
| ME | — | $96.44 |
| MI | — | $96.44 |
| MN | — | $96.44 |
| MO | — | $96.44 |
| MS | — | $96.44 |
| MT | — | $95.53 |
| NC | — | $96.44 |
| ND | — | $95.53 |
| NE | — | $95.53 |
| NH | — | $96.44 |
| NJ | — | $96.44 |
| NM | — | $96.44 |
| NV | — | $95.53 |
| NY | — | $96.44 |
| OH | — | $96.44 |
| OK | — | $96.44 |
| OR | — | $95.53 |
| PA | — | $96.44 |
| PR | $107.20 | — |
| RI | — | $96.44 |
| SC | — | $96.44 |
| SD | — | $95.53 |
| TN | — | $96.44 |
| TX | — | $96.44 |
| UT | — | $96.44 |
| VA | — | $96.44 |
| VI | $96.44 | — |
| VT | — | $96.44 |
| WA | — | $96.44 |
| WI | — | $96.44 |
| WV | — | $96.44 |
| WY | — | $95.53 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $92.34 to $112.74 depending on state and rural status.
Former-CBA payment limits: ceiling $93.94 · floor $79.85
| State | Non-rural | Rural |
|---|---|---|
| AK | $92.34 | — |
| AL | $93.94 | — |
| AR | $93.94 | — |
| AZ | $92.34 | — |
| CA | $92.34 | — |
| CO | $93.94 | — |
| CT | $93.94 | — |
| DC | $93.94 | — |
| DE | $93.94 | — |
| FL | $93.94 | — |
| GA | $93.94 | — |
| HI | $92.34 | — |
| IA | $92.34 | — |
| ID | $92.34 | — |
| IL | $93.94 | — |
| IN | $93.94 | — |
| KS | $92.34 | — |
| KY | $93.94 | — |
| LA | $93.94 | — |
| MA | $93.94 | — |
| MD | $93.94 | — |
| ME | $93.94 | — |
| MI | $93.94 | — |
| MN | $93.94 | — |
| MO | $93.94 | — |
| MS | $93.94 | — |
| MT | $92.34 | — |
| NC | $93.94 | — |
| ND | $92.34 | — |
| NE | $92.34 | — |
| NH | $93.94 | — |
| NJ | $93.94 | — |
| NM | $93.94 | — |
| NV | $92.34 | — |
| NY | $93.94 | — |
| OH | $93.94 | — |
| OK | $93.94 | — |
| OR | $92.34 | — |
| PA | $93.94 | — |
| PR | $112.74 | — |
| RI | $93.94 | — |
| SC | $93.94 | — |
| SD | $92.34 | — |
| TN | $93.94 | — |
| TX | $93.94 | — |
| UT | $93.94 | — |
| VA | $93.94 | — |
| VI | $93.94 | — |
| VT | $93.94 | — |
| WA | $93.94 | — |
| WI | $93.94 | — |
| WV | $93.94 | — |
| WY | $92.34 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.53 to $9.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.89 | — |
| AL | $8.53 | $8.98 |
| AR | $8.53 | $8.98 |
| AZ | $8.53 | $8.89 |
| CA | $8.53 | $8.89 |
| CO | $8.53 | $8.98 |
| CT | $8.53 | $8.98 |
| DC | $8.53 | $8.98 |
| DE | $8.53 | $8.98 |
| FL | $8.53 | $8.98 |
| GA | $8.53 | $8.98 |
| HI | $8.89 | — |
| IA | $8.53 | $8.89 |
| ID | $8.53 | $8.89 |
| IL | $8.53 | $8.98 |
| IN | $8.53 | $8.98 |
| KS | $8.53 | $8.89 |
| KY | $8.53 | $8.98 |
| LA | $8.53 | $8.98 |
| MA | $8.53 | $8.98 |
| MD | $8.53 | $8.98 |
| ME | $8.53 | $8.98 |
| MI | $8.53 | $8.98 |
| MN | $8.53 | $8.98 |
| MO | $8.53 | $8.98 |
| MS | $8.53 | $8.98 |
| MT | $8.53 | $8.89 |
| NC | $8.53 | $8.98 |
| ND | $8.53 | $8.89 |
| NE | $8.53 | $8.89 |
| NH | $8.53 | $8.98 |
| NJ | $8.53 | $8.98 |
| NM | $8.53 | $8.98 |
| NV | $8.53 | $8.89 |
| NY | $8.53 | $8.98 |
| OH | $8.53 | $8.98 |
| OK | $8.53 | $8.98 |
| OR | $8.53 | $8.89 |
| PA | $8.53 | $8.98 |
| PR | $9.90 | — |
| RI | $8.53 | $8.98 |
| SC | $8.53 | $8.98 |
| SD | $8.53 | $8.89 |
| TN | $8.53 | $8.98 |
| TX | $8.53 | $8.98 |
| UT | $8.53 | $8.98 |
| VA | $8.53 | $8.98 |
| VI | $8.98 | — |
| VT | $8.53 | $8.98 |
| WA | $8.53 | $8.98 |
| WI | $8.53 | $8.98 |
| WV | $8.53 | $8.98 |
| WY | $8.53 | $8.89 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $9.56 to $10.72 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.56 | — |
| AL | — | $9.66 |
| AR | — | $9.66 |
| AZ | — | $9.56 |
| CA | — | $9.56 |
| CO | — | $9.66 |
| CT | — | $9.66 |
| DC | — | $9.66 |
| DE | — | $9.66 |
| FL | — | $9.66 |
| GA | — | $9.66 |
| HI | $9.56 | — |
| IA | — | $9.56 |
| ID | — | $9.56 |
| IL | — | $9.66 |
| IN | — | $9.66 |
| KS | — | $9.56 |
| KY | — | $9.66 |
| LA | — | $9.66 |
| MA | — | $9.66 |
| MD | — | $9.66 |
| ME | — | $9.66 |
| MI | — | $9.66 |
| MN | — | $9.66 |
| MO | — | $9.66 |
| MS | — | $9.66 |
| MT | — | $9.56 |
| NC | — | $9.66 |
| ND | — | $9.56 |
| NE | — | $9.56 |
| NH | — | $9.66 |
| NJ | — | $9.66 |
| NM | — | $9.66 |
| NV | — | $9.56 |
| NY | — | $9.66 |
| OH | — | $9.66 |
| OK | — | $9.66 |
| OR | — | $9.56 |
| PA | — | $9.66 |
| PR | $10.72 | — |
| RI | — | $9.66 |
| SC | — | $9.66 |
| SD | — | $9.56 |
| TN | — | $9.66 |
| TX | — | $9.66 |
| UT | — | $9.66 |
| VA | — | $9.66 |
| VI | $9.66 | — |
| VT | — | $9.66 |
| WA | — | $9.66 |
| WI | — | $9.66 |
| WV | — | $9.66 |
| WY | — | $9.56 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $9.25 to $11.26 depending on state and rural status.
Former-CBA payment limits: ceiling $9.42 · floor $8.01
| State | Non-rural | Rural |
|---|---|---|
| AK | $9.25 | — |
| AL | $9.42 | — |
| AR | $9.42 | — |
| AZ | $9.25 | — |
| CA | $9.25 | — |
| CO | $9.42 | — |
| CT | $9.42 | — |
| DC | $9.42 | — |
| DE | $9.42 | — |
| FL | $9.42 | — |
| GA | $9.42 | — |
| HI | $9.25 | — |
| IA | $9.25 | — |
| ID | $9.25 | — |
| IL | $9.42 | — |
| IN | $9.42 | — |
| KS | $9.25 | — |
| KY | $9.42 | — |
| LA | $9.42 | — |
| MA | $9.42 | — |
| MD | $9.42 | — |
| ME | $9.42 | — |
| MI | $9.42 | — |
| MN | $9.42 | — |
| MO | $9.42 | — |
| MS | $9.42 | — |
| MT | $9.25 | — |
| NC | $9.42 | — |
| ND | $9.25 | — |
| NE | $9.25 | — |
| NH | $9.42 | — |
| NJ | $9.42 | — |
| NM | $9.42 | — |
| NV | $9.25 | — |
| NY | $9.42 | — |
| OH | $9.42 | — |
| OK | $9.42 | — |
| OR | $9.25 | — |
| PA | $9.42 | — |
| PR | $11.26 | — |
| RI | $9.42 | — |
| SC | $9.42 | — |
| SD | $9.25 | — |
| TN | $9.42 | — |
| TX | $9.42 | — |
| UT | $9.42 | — |
| VA | $9.42 | — |
| VI | $9.42 | — |
| VT | $9.42 | — |
| WA | $9.42 | — |
| WI | $9.42 | — |
| WV | $9.42 | — |
| WY | $9.25 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $64.00 to $74.27 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $66.64 | — |
| AL | $64.00 | $67.21 |
| AR | $64.00 | $67.21 |
| AZ | $64.00 | $66.64 |
| CA | $64.00 | $66.64 |
| CO | $64.00 | $67.21 |
| CT | $64.00 | $67.21 |
| DC | $64.00 | $67.21 |
| DE | $64.00 | $67.21 |
| FL | $64.00 | $67.21 |
| GA | $64.00 | $67.21 |
| HI | $66.64 | — |
| IA | $64.00 | $66.64 |
| ID | $64.00 | $66.64 |
| IL | $64.00 | $67.21 |
| IN | $64.00 | $67.21 |
| KS | $64.00 | $66.64 |
| KY | $64.00 | $67.21 |
| LA | $64.00 | $67.21 |
| MA | $64.00 | $67.21 |
| MD | $64.00 | $67.21 |
| ME | $64.00 | $67.21 |
| MI | $64.00 | $67.21 |
| MN | $64.00 | $67.21 |
| MO | $64.00 | $67.21 |
| MS | $64.00 | $67.21 |
| MT | $64.00 | $66.64 |
| NC | $64.00 | $67.21 |
| ND | $64.00 | $66.64 |
| NE | $64.00 | $66.64 |
| NH | $64.00 | $67.21 |
| NJ | $64.00 | $67.21 |
| NM | $64.00 | $67.21 |
| NV | $64.00 | $66.64 |
| NY | $64.00 | $67.21 |
| OH | $64.00 | $67.21 |
| OK | $64.00 | $67.21 |
| OR | $64.00 | $66.64 |
| PA | $64.00 | $67.21 |
| PR | $74.27 | — |
| RI | $64.00 | $67.21 |
| SC | $64.00 | $67.21 |
| SD | $64.00 | $66.64 |
| TN | $64.00 | $67.21 |
| TX | $64.00 | $67.21 |
| UT | $64.00 | $67.21 |
| VA | $64.00 | $67.21 |
| VI | $67.21 | — |
| VT | $64.00 | $67.21 |
| WA | $64.00 | $67.21 |
| WI | $64.00 | $67.21 |
| WV | $64.00 | $67.21 |
| WY | $64.00 | $66.64 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $71.66 to $80.40 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $71.66 | — |
| AL | — | $72.32 |
| AR | — | $72.32 |
| AZ | — | $71.66 |
| CA | — | $71.66 |
| CO | — | $72.32 |
| CT | — | $72.32 |
| DC | — | $72.32 |
| DE | — | $72.32 |
| FL | — | $72.32 |
| GA | — | $72.32 |
| HI | $71.66 | — |
| IA | — | $71.66 |
| ID | — | $71.66 |
| IL | — | $72.32 |
| IN | — | $72.32 |
| KS | — | $71.66 |
| KY | — | $72.32 |
| LA | — | $72.32 |
| MA | — | $72.32 |
| MD | — | $72.32 |
| ME | — | $72.32 |
| MI | — | $72.32 |
| MN | — | $72.32 |
| MO | — | $72.32 |
| MS | — | $72.32 |
| MT | — | $71.66 |
| NC | — | $72.32 |
| ND | — | $71.66 |
| NE | — | $71.66 |
| NH | — | $72.32 |
| NJ | — | $72.32 |
| NM | — | $72.32 |
| NV | — | $71.66 |
| NY | — | $72.32 |
| OH | — | $72.32 |
| OK | — | $72.32 |
| OR | — | $71.66 |
| PA | — | $72.32 |
| PR | $80.40 | — |
| RI | — | $72.32 |
| SC | — | $72.32 |
| SD | — | $71.66 |
| TN | — | $72.32 |
| TX | — | $72.32 |
| UT | — | $72.32 |
| VA | — | $72.32 |
| VI | $72.32 | — |
| VT | — | $72.32 |
| WA | — | $72.32 |
| WI | — | $72.32 |
| WV | — | $72.32 |
| WY | — | $71.66 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $69.28 to $84.54 depending on state and rural status.
Former-CBA payment limits: ceiling $70.42 · floor $59.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $69.28 | — |
| AL | $70.42 | — |
| AR | $70.42 | — |
| AZ | $69.28 | — |
| CA | $69.28 | — |
| CO | $70.42 | — |
| CT | $70.42 | — |
| DC | $70.42 | — |
| DE | $70.42 | — |
| FL | $70.42 | — |
| GA | $70.42 | — |
| HI | $69.28 | — |
| IA | $69.28 | — |
| ID | $69.28 | — |
| IL | $70.42 | — |
| IN | $70.42 | — |
| KS | $69.28 | — |
| KY | $70.42 | — |
| LA | $70.42 | — |
| MA | $70.42 | — |
| MD | $70.42 | — |
| ME | $70.42 | — |
| MI | $70.42 | — |
| MN | $70.42 | — |
| MO | $70.42 | — |
| MS | $70.42 | — |
| MT | $69.28 | — |
| NC | $70.42 | — |
| ND | $69.28 | — |
| NE | $69.28 | — |
| NH | $70.42 | — |
| NJ | $70.42 | — |
| NM | $70.42 | — |
| NV | $69.28 | — |
| NY | $70.42 | — |
| OH | $70.42 | — |
| OK | $70.42 | — |
| OR | $69.28 | — |
| PA | $70.42 | — |
| PR | $84.54 | — |
| RI | $70.42 | — |
| SC | $70.42 | — |
| SD | $69.28 | — |
| TN | $70.42 | — |
| TX | $70.42 | — |
| UT | $70.42 | — |
| VA | $70.42 | — |
| VI | $70.42 | — |
| VT | $70.42 | — |
| WA | $70.42 | — |
| WI | $70.42 | — |
| WV | $70.42 | — |
| WY | $69.28 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0047 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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