MyMedi-AI

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
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.

K0052 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $78.43 to $115.73 depending on state and rural status.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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.

StateNon-ruralRural
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.

StateNon-ruralRural
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

StateNon-ruralRural
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
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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