K0052 — Swingaway, detachable footrests, replacement only, each
HCPCS Level II K-code · short descriptor: “Swingaway detach ftrest repl”
- 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.
K0052 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $78.43 to $115.73 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $103.42 | — |
| AL | $88.18 | $104.37 |
| AR | $88.18 | $104.37 |
| AZ | $85.32 | $103.42 |
| CA | $83.75 | $103.42 |
| CO | $92.34 | $104.37 |
| CT | $78.43 | $104.37 |
| DC | $80.16 | $104.37 |
| DE | $80.16 | $104.37 |
| FL | $88.18 | $104.37 |
| GA | $88.18 | $104.37 |
| HI | $103.42 | — |
| IA | $89.09 | $103.42 |
| ID | $92.34 | $103.42 |
| IL | $93.73 | $104.37 |
| IN | $93.73 | $104.37 |
| KS | $89.09 | $103.42 |
| KY | $88.18 | $104.37 |
| LA | $88.18 | $104.37 |
| MA | $78.43 | $104.37 |
| MD | $80.16 | $104.37 |
| ME | $78.43 | $104.37 |
| MI | $93.73 | $104.37 |
| MN | $89.09 | $104.37 |
| MO | $89.09 | $104.37 |
| MS | $88.18 | $104.37 |
| MT | $92.34 | $103.42 |
| NC | $88.18 | $104.37 |
| ND | $89.09 | $103.42 |
| NE | $89.09 | $103.42 |
| NH | $78.43 | $104.37 |
| NJ | $80.16 | $104.37 |
| NM | $85.32 | $104.37 |
| NV | $83.75 | $103.42 |
| NY | $80.16 | $104.37 |
| OH | $93.73 | $104.37 |
| OK | $85.32 | $104.37 |
| OR | $83.75 | $103.42 |
| PA | $80.16 | $104.37 |
| PR | $115.73 | — |
| RI | $78.43 | $104.37 |
| SC | $88.18 | $104.37 |
| SD | $89.09 | $103.42 |
| TN | $88.18 | $104.37 |
| TX | $85.32 | $104.37 |
| UT | $92.34 | $104.37 |
| VA | $88.18 | $104.37 |
| VI | $104.37 | — |
| VT | $78.43 | $104.37 |
| WA | $83.75 | $104.37 |
| WI | $93.73 | $104.37 |
| WV | $88.18 | $104.37 |
| WY | $92.34 | $103.42 |
NU + KE — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $111.51 to $125.60 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $111.51 | — |
| AL | — | $112.60 |
| AR | — | $112.60 |
| AZ | — | $111.51 |
| CA | — | $111.51 |
| CO | — | $112.60 |
| CT | — | $112.60 |
| DC | — | $112.60 |
| DE | — | $112.60 |
| FL | — | $112.60 |
| GA | — | $112.60 |
| HI | $111.51 | — |
| IA | — | $111.51 |
| ID | — | $111.51 |
| IL | — | $112.60 |
| IN | — | $112.60 |
| KS | — | $111.51 |
| KY | — | $112.60 |
| LA | — | $112.60 |
| MA | — | $112.60 |
| MD | — | $112.60 |
| ME | — | $112.60 |
| MI | — | $112.60 |
| MN | — | $112.60 |
| MO | — | $112.60 |
| MS | — | $112.60 |
| MT | — | $111.51 |
| NC | — | $112.60 |
| ND | — | $111.51 |
| NE | — | $111.51 |
| NH | — | $112.60 |
| NJ | — | $112.60 |
| NM | — | $112.60 |
| NV | — | $111.51 |
| NY | — | $112.60 |
| OH | — | $112.60 |
| OK | — | $112.60 |
| OR | — | $111.51 |
| PA | — | $112.60 |
| PR | $125.60 | — |
| RI | — | $112.60 |
| SC | — | $112.60 |
| SD | — | $111.51 |
| TN | — | $112.60 |
| TX | — | $112.60 |
| UT | — | $112.60 |
| VA | — | $112.60 |
| VI | $112.60 | — |
| VT | — | $112.60 |
| WA | — | $112.60 |
| WI | — | $112.60 |
| WV | — | $112.60 |
| WY | — | $111.51 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $111.66 to $136.28 depending on state and rural status.
Former-CBA payment limits: ceiling $113.58 · floor $96.54
| State | Non-rural | Rural |
|---|---|---|
| AK | $111.66 | — |
| AL | $113.58 | — |
| AR | $113.58 | — |
| AZ | $111.66 | — |
| CA | $111.66 | — |
| CO | $113.58 | — |
| CT | $113.58 | — |
| DC | $113.58 | — |
| DE | $113.58 | — |
| FL | $113.58 | — |
| GA | $113.58 | — |
| HI | $111.66 | — |
| IA | $111.66 | — |
| ID | $111.66 | — |
| IL | $113.58 | — |
| IN | $113.58 | — |
| KS | $111.66 | — |
| KY | $113.58 | — |
| LA | $113.58 | — |
| MA | $113.58 | — |
| MD | $113.58 | — |
| ME | $113.58 | — |
| MI | $113.58 | — |
| MN | $113.58 | — |
| MO | $113.58 | — |
| MS | $113.58 | — |
| MT | $111.66 | — |
| NC | $113.58 | — |
| ND | $111.66 | — |
| NE | $111.66 | — |
| NH | $113.58 | — |
| NJ | $113.58 | — |
| NM | $113.58 | — |
| NV | $111.66 | — |
| NY | $113.58 | — |
| OH | $113.58 | — |
| OK | $113.58 | — |
| OR | $111.66 | — |
| PA | $113.58 | — |
| PR | $136.28 | — |
| RI | $113.58 | — |
| SC | $113.58 | — |
| SD | $111.66 | — |
| TN | $113.58 | — |
| TX | $113.58 | — |
| UT | $113.58 | — |
| VA | $113.58 | — |
| VI | $113.58 | — |
| VT | $113.58 | — |
| WA | $113.58 | — |
| WI | $113.58 | — |
| WV | $113.58 | — |
| WY | $111.66 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.84 to $11.57 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $10.36 | — |
| AL | $8.82 | $10.43 |
| AR | $8.82 | $10.43 |
| AZ | $8.53 | $10.36 |
| CA | $8.38 | $10.36 |
| CO | $9.23 | $10.43 |
| CT | $7.84 | $10.43 |
| DC | $8.02 | $10.43 |
| DE | $8.02 | $10.43 |
| FL | $8.82 | $10.43 |
| GA | $8.82 | $10.43 |
| HI | $10.36 | — |
| IA | $8.91 | $10.36 |
| ID | $9.23 | $10.36 |
| IL | $9.37 | $10.43 |
| IN | $9.37 | $10.43 |
| KS | $8.91 | $10.36 |
| KY | $8.82 | $10.43 |
| LA | $8.82 | $10.43 |
| MA | $7.84 | $10.43 |
| MD | $8.02 | $10.43 |
| ME | $7.84 | $10.43 |
| MI | $9.37 | $10.43 |
| MN | $8.91 | $10.43 |
| MO | $8.91 | $10.43 |
| MS | $8.82 | $10.43 |
| MT | $9.23 | $10.36 |
| NC | $8.82 | $10.43 |
| ND | $8.91 | $10.36 |
| NE | $8.91 | $10.36 |
| NH | $7.84 | $10.43 |
| NJ | $8.02 | $10.43 |
| NM | $8.53 | $10.43 |
| NV | $8.38 | $10.36 |
| NY | $8.02 | $10.43 |
| OH | $9.37 | $10.43 |
| OK | $8.53 | $10.43 |
| OR | $8.38 | $10.36 |
| PA | $8.02 | $10.43 |
| PR | $11.57 | — |
| RI | $7.84 | $10.43 |
| SC | $8.82 | $10.43 |
| SD | $8.91 | $10.36 |
| TN | $8.82 | $10.43 |
| TX | $8.53 | $10.43 |
| UT | $9.23 | $10.43 |
| VA | $8.82 | $10.43 |
| VI | $10.43 | — |
| VT | $7.84 | $10.43 |
| WA | $8.38 | $10.43 |
| WI | $9.37 | $10.43 |
| WV | $8.82 | $10.43 |
| WY | $9.23 | $10.36 |
RR + KE — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $11.17 to $12.56 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.17 | — |
| AL | — | $11.26 |
| AR | — | $11.26 |
| AZ | — | $11.17 |
| CA | — | $11.17 |
| CO | — | $11.26 |
| CT | — | $11.26 |
| DC | — | $11.26 |
| DE | — | $11.26 |
| FL | — | $11.26 |
| GA | — | $11.26 |
| HI | $11.17 | — |
| IA | — | $11.17 |
| ID | — | $11.17 |
| IL | — | $11.26 |
| IN | — | $11.26 |
| KS | — | $11.17 |
| KY | — | $11.26 |
| LA | — | $11.26 |
| MA | — | $11.26 |
| MD | — | $11.26 |
| ME | — | $11.26 |
| MI | — | $11.26 |
| MN | — | $11.26 |
| MO | — | $11.26 |
| MS | — | $11.26 |
| MT | — | $11.17 |
| NC | — | $11.26 |
| ND | — | $11.17 |
| NE | — | $11.17 |
| NH | — | $11.26 |
| NJ | — | $11.26 |
| NM | — | $11.26 |
| NV | — | $11.17 |
| NY | — | $11.26 |
| OH | — | $11.26 |
| OK | — | $11.26 |
| OR | — | $11.17 |
| PA | — | $11.26 |
| PR | $12.56 | — |
| RI | — | $11.26 |
| SC | — | $11.26 |
| SD | — | $11.17 |
| TN | — | $11.26 |
| TX | — | $11.26 |
| UT | — | $11.26 |
| VA | — | $11.26 |
| VI | $11.26 | — |
| VT | — | $11.26 |
| WA | — | $11.26 |
| WI | — | $11.26 |
| WV | — | $11.26 |
| WY | — | $11.17 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $11.21 to $13.63 depending on state and rural status.
Former-CBA payment limits: ceiling $11.35 · floor $9.65
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.21 | — |
| AL | $11.35 | — |
| AR | $11.35 | — |
| AZ | $11.21 | — |
| CA | $11.21 | — |
| CO | $11.35 | — |
| CT | $11.35 | — |
| DC | $11.35 | — |
| DE | $11.35 | — |
| FL | $11.35 | — |
| GA | $11.35 | — |
| HI | $11.21 | — |
| IA | $11.21 | — |
| ID | $11.21 | — |
| IL | $11.35 | — |
| IN | $11.35 | — |
| KS | $11.21 | — |
| KY | $11.35 | — |
| LA | $11.35 | — |
| MA | $11.35 | — |
| MD | $11.35 | — |
| ME | $11.35 | — |
| MI | $11.35 | — |
| MN | $11.35 | — |
| MO | $11.35 | — |
| MS | $11.35 | — |
| MT | $11.21 | — |
| NC | $11.35 | — |
| ND | $11.21 | — |
| NE | $11.21 | — |
| NH | $11.35 | — |
| NJ | $11.35 | — |
| NM | $11.35 | — |
| NV | $11.21 | — |
| NY | $11.35 | — |
| OH | $11.35 | — |
| OK | $11.35 | — |
| OR | $11.21 | — |
| PA | $11.35 | — |
| PR | $13.63 | — |
| RI | $11.35 | — |
| SC | $11.35 | — |
| SD | $11.21 | — |
| TN | $11.35 | — |
| TX | $11.35 | — |
| UT | $11.35 | — |
| VA | $11.35 | — |
| VI | $11.35 | — |
| VT | $11.35 | — |
| WA | $11.35 | — |
| WI | $11.35 | — |
| WV | $11.35 | — |
| WY | $11.21 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $58.83 to $86.81 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $77.55 | — |
| AL | $66.14 | $78.26 |
| AR | $66.14 | $78.26 |
| AZ | $63.99 | $77.55 |
| CA | $62.82 | $77.55 |
| CO | $69.26 | $78.26 |
| CT | $58.83 | $78.26 |
| DC | $60.12 | $78.26 |
| DE | $60.12 | $78.26 |
| FL | $66.14 | $78.26 |
| GA | $66.14 | $78.26 |
| HI | $77.55 | — |
| IA | $66.82 | $77.55 |
| ID | $69.26 | $77.55 |
| IL | $70.30 | $78.26 |
| IN | $70.30 | $78.26 |
| KS | $66.82 | $77.55 |
| KY | $66.14 | $78.26 |
| LA | $66.14 | $78.26 |
| MA | $58.83 | $78.26 |
| MD | $60.12 | $78.26 |
| ME | $58.83 | $78.26 |
| MI | $70.30 | $78.26 |
| MN | $66.82 | $78.26 |
| MO | $66.82 | $78.26 |
| MS | $66.14 | $78.26 |
| MT | $69.26 | $77.55 |
| NC | $66.14 | $78.26 |
| ND | $66.82 | $77.55 |
| NE | $66.82 | $77.55 |
| NH | $58.83 | $78.26 |
| NJ | $60.12 | $78.26 |
| NM | $63.99 | $78.26 |
| NV | $62.82 | $77.55 |
| NY | $60.12 | $78.26 |
| OH | $70.30 | $78.26 |
| OK | $63.99 | $78.26 |
| OR | $62.82 | $77.55 |
| PA | $60.12 | $78.26 |
| PR | $86.81 | — |
| RI | $58.83 | $78.26 |
| SC | $66.14 | $78.26 |
| SD | $66.82 | $77.55 |
| TN | $66.14 | $78.26 |
| TX | $63.99 | $78.26 |
| UT | $69.26 | $78.26 |
| VA | $66.14 | $78.26 |
| VI | $78.26 | — |
| VT | $58.83 | $78.26 |
| WA | $62.82 | $78.26 |
| WI | $70.30 | $78.26 |
| WV | $66.14 | $78.26 |
| WY | $69.26 | $77.55 |
UE + KE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $83.62 to $94.22 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $83.62 | — |
| AL | — | $84.44 |
| AR | — | $84.44 |
| AZ | — | $83.62 |
| CA | — | $83.62 |
| CO | — | $84.44 |
| CT | — | $84.44 |
| DC | — | $84.44 |
| DE | — | $84.44 |
| FL | — | $84.44 |
| GA | — | $84.44 |
| HI | $83.62 | — |
| IA | — | $83.62 |
| ID | — | $83.62 |
| IL | — | $84.44 |
| IN | — | $84.44 |
| KS | — | $83.62 |
| KY | — | $84.44 |
| LA | — | $84.44 |
| MA | — | $84.44 |
| MD | — | $84.44 |
| ME | — | $84.44 |
| MI | — | $84.44 |
| MN | — | $84.44 |
| MO | — | $84.44 |
| MS | — | $84.44 |
| MT | — | $83.62 |
| NC | — | $84.44 |
| ND | — | $83.62 |
| NE | — | $83.62 |
| NH | — | $84.44 |
| NJ | — | $84.44 |
| NM | — | $84.44 |
| NV | — | $83.62 |
| NY | — | $84.44 |
| OH | — | $84.44 |
| OK | — | $84.44 |
| OR | — | $83.62 |
| PA | — | $84.44 |
| PR | $94.22 | — |
| RI | — | $84.44 |
| SC | — | $84.44 |
| SD | — | $83.62 |
| TN | — | $84.44 |
| TX | — | $84.44 |
| UT | — | $84.44 |
| VA | — | $84.44 |
| VI | $84.44 | — |
| VT | — | $84.44 |
| WA | — | $84.44 |
| WI | — | $84.44 |
| WV | — | $84.44 |
| WY | — | $83.62 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $83.71 to $102.24 depending on state and rural status.
Former-CBA payment limits: ceiling $85.15 · floor $72.38
| State | Non-rural | Rural |
|---|---|---|
| AK | $83.71 | — |
| AL | $85.15 | — |
| AR | $85.15 | — |
| AZ | $83.71 | — |
| CA | $83.71 | — |
| CO | $85.15 | — |
| CT | $85.15 | — |
| DC | $85.15 | — |
| DE | $85.15 | — |
| FL | $85.15 | — |
| GA | $85.15 | — |
| HI | $83.71 | — |
| IA | $83.71 | — |
| ID | $83.71 | — |
| IL | $85.15 | — |
| IN | $85.15 | — |
| KS | $83.71 | — |
| KY | $85.15 | — |
| LA | $85.15 | — |
| MA | $85.15 | — |
| MD | $85.15 | — |
| ME | $85.15 | — |
| MI | $85.15 | — |
| MN | $85.15 | — |
| MO | $85.15 | — |
| MS | $85.15 | — |
| MT | $83.71 | — |
| NC | $85.15 | — |
| ND | $83.71 | — |
| NE | $83.71 | — |
| NH | $85.15 | — |
| NJ | $85.15 | — |
| NM | $85.15 | — |
| NV | $83.71 | — |
| NY | $85.15 | — |
| OH | $85.15 | — |
| OK | $85.15 | — |
| OR | $83.71 | — |
| PA | $85.15 | — |
| PR | $102.24 | — |
| RI | $85.15 | — |
| SC | $85.15 | — |
| SD | $83.71 | — |
| TN | $85.15 | — |
| TX | $85.15 | — |
| UT | $85.15 | — |
| VA | $85.15 | — |
| VI | $85.15 | — |
| VT | $85.15 | — |
| WA | $85.15 | — |
| WI | $85.15 | — |
| WV | $85.15 | — |
| WY | $83.71 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0052 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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