K0065 — Spoke protectors, each
HCPCS Level II K-code · short descriptor: “Spoke protectors”
- 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.
K0065 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $53.41 to $69.44 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $62.30 | — |
| AL | $55.71 | $63.09 |
| AR | $55.71 | $63.09 |
| AZ | $56.56 | $62.30 |
| CA | $53.41 | $62.30 |
| CO | $57.37 | $63.09 |
| CT | $59.84 | $63.09 |
| DC | $55.47 | $63.09 |
| DE | $55.47 | $63.09 |
| FL | $55.71 | $63.09 |
| GA | $55.71 | $63.09 |
| HI | $62.30 | — |
| IA | $59.09 | $62.30 |
| ID | $57.37 | $62.30 |
| IL | $59.67 | $63.09 |
| IN | $59.67 | $63.09 |
| KS | $59.09 | $62.30 |
| KY | $55.71 | $63.09 |
| LA | $55.71 | $63.09 |
| MA | $59.84 | $63.09 |
| MD | $55.47 | $63.09 |
| ME | $59.84 | $63.09 |
| MI | $59.67 | $63.09 |
| MN | $59.09 | $63.09 |
| MO | $59.09 | $63.09 |
| MS | $55.71 | $63.09 |
| MT | $57.37 | $62.30 |
| NC | $55.71 | $63.09 |
| ND | $59.09 | $62.30 |
| NE | $59.09 | $62.30 |
| NH | $59.84 | $63.09 |
| NJ | $55.47 | $63.09 |
| NM | $56.56 | $63.09 |
| NV | $53.41 | $62.30 |
| NY | $55.47 | $63.09 |
| OH | $59.67 | $63.09 |
| OK | $56.56 | $63.09 |
| OR | $53.41 | $62.30 |
| PA | $55.47 | $63.09 |
| PR | $69.44 | — |
| RI | $59.84 | $63.09 |
| SC | $55.71 | $63.09 |
| SD | $59.09 | $62.30 |
| TN | $55.71 | $63.09 |
| TX | $56.56 | $63.09 |
| UT | $57.37 | $63.09 |
| VA | $55.71 | $63.09 |
| VI | $63.09 | — |
| VT | $59.84 | $63.09 |
| WA | $53.41 | $63.09 |
| WI | $59.67 | $63.09 |
| WV | $55.71 | $63.09 |
| WY | $57.37 | $62.30 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $62.30 to $76.02 depending on state and rural status.
Former-CBA payment limits: ceiling $63.34 · floor $53.84
| State | Non-rural | Rural |
|---|---|---|
| AK | $62.30 | — |
| AL | $63.34 | — |
| AR | $63.34 | — |
| AZ | $62.30 | — |
| CA | $62.30 | — |
| CO | $63.34 | — |
| CT | $63.34 | — |
| DC | $63.34 | — |
| DE | $63.34 | — |
| FL | $63.34 | — |
| GA | $63.34 | — |
| HI | $62.30 | — |
| IA | $62.30 | — |
| ID | $62.30 | — |
| IL | $63.34 | — |
| IN | $63.34 | — |
| KS | $62.30 | — |
| KY | $63.34 | — |
| LA | $63.34 | — |
| MA | $63.34 | — |
| MD | $63.34 | — |
| ME | $63.34 | — |
| MI | $63.34 | — |
| MN | $63.34 | — |
| MO | $63.34 | — |
| MS | $63.34 | — |
| MT | $62.30 | — |
| NC | $63.34 | — |
| ND | $62.30 | — |
| NE | $62.30 | — |
| NH | $63.34 | — |
| NJ | $63.34 | — |
| NM | $63.34 | — |
| NV | $62.30 | — |
| NY | $63.34 | — |
| OH | $63.34 | — |
| OK | $63.34 | — |
| OR | $62.30 | — |
| PA | $63.34 | — |
| PR | $76.02 | — |
| RI | $63.34 | — |
| SC | $63.34 | — |
| SD | $62.30 | — |
| TN | $63.34 | — |
| TX | $63.34 | — |
| UT | $63.34 | — |
| VA | $63.34 | — |
| VI | $63.34 | — |
| VT | $63.34 | — |
| WA | $63.34 | — |
| WI | $63.34 | — |
| WV | $63.34 | — |
| WY | $62.30 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.34 to $6.96 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.23 | — |
| AL | $5.57 | $6.31 |
| AR | $5.57 | $6.31 |
| AZ | $5.66 | $6.23 |
| CA | $5.34 | $6.23 |
| CO | $5.74 | $6.31 |
| CT | $5.98 | $6.31 |
| DC | $5.55 | $6.31 |
| DE | $5.55 | $6.31 |
| FL | $5.57 | $6.31 |
| GA | $5.57 | $6.31 |
| HI | $6.23 | — |
| IA | $5.91 | $6.23 |
| ID | $5.74 | $6.23 |
| IL | $5.97 | $6.31 |
| IN | $5.97 | $6.31 |
| KS | $5.91 | $6.23 |
| KY | $5.57 | $6.31 |
| LA | $5.57 | $6.31 |
| MA | $5.98 | $6.31 |
| MD | $5.55 | $6.31 |
| ME | $5.98 | $6.31 |
| MI | $5.97 | $6.31 |
| MN | $5.91 | $6.31 |
| MO | $5.91 | $6.31 |
| MS | $5.57 | $6.31 |
| MT | $5.74 | $6.23 |
| NC | $5.57 | $6.31 |
| ND | $5.91 | $6.23 |
| NE | $5.91 | $6.23 |
| NH | $5.98 | $6.31 |
| NJ | $5.55 | $6.31 |
| NM | $5.66 | $6.31 |
| NV | $5.34 | $6.23 |
| NY | $5.55 | $6.31 |
| OH | $5.97 | $6.31 |
| OK | $5.66 | $6.31 |
| OR | $5.34 | $6.23 |
| PA | $5.55 | $6.31 |
| PR | $6.96 | — |
| RI | $5.98 | $6.31 |
| SC | $5.57 | $6.31 |
| SD | $5.91 | $6.23 |
| TN | $5.57 | $6.31 |
| TX | $5.66 | $6.31 |
| UT | $5.74 | $6.31 |
| VA | $5.57 | $6.31 |
| VI | $6.31 | — |
| VT | $5.98 | $6.31 |
| WA | $5.34 | $6.31 |
| WI | $5.97 | $6.31 |
| WV | $5.57 | $6.31 |
| WY | $5.74 | $6.23 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.21 to $7.65 depending on state and rural status.
Former-CBA payment limits: ceiling $6.33 · floor $5.38
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.21 | — |
| AL | $6.33 | — |
| AR | $6.33 | — |
| AZ | $6.21 | — |
| CA | $6.21 | — |
| CO | $6.33 | — |
| CT | $6.33 | — |
| DC | $6.33 | — |
| DE | $6.33 | — |
| FL | $6.33 | — |
| GA | $6.33 | — |
| HI | $6.21 | — |
| IA | $6.21 | — |
| ID | $6.21 | — |
| IL | $6.33 | — |
| IN | $6.33 | — |
| KS | $6.21 | — |
| KY | $6.33 | — |
| LA | $6.33 | — |
| MA | $6.33 | — |
| MD | $6.33 | — |
| ME | $6.33 | — |
| MI | $6.33 | — |
| MN | $6.33 | — |
| MO | $6.33 | — |
| MS | $6.33 | — |
| MT | $6.21 | — |
| NC | $6.33 | — |
| ND | $6.21 | — |
| NE | $6.21 | — |
| NH | $6.33 | — |
| NJ | $6.33 | — |
| NM | $6.33 | — |
| NV | $6.21 | — |
| NY | $6.33 | — |
| OH | $6.33 | — |
| OK | $6.33 | — |
| OR | $6.21 | — |
| PA | $6.33 | — |
| PR | $7.65 | — |
| RI | $6.33 | — |
| SC | $6.33 | — |
| SD | $6.21 | — |
| TN | $6.33 | — |
| TX | $6.33 | — |
| UT | $6.33 | — |
| VA | $6.33 | — |
| VI | $6.33 | — |
| VT | $6.33 | — |
| WA | $6.33 | — |
| WI | $6.33 | — |
| WV | $6.33 | — |
| WY | $6.21 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $40.06 to $52.08 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $46.75 | — |
| AL | $41.79 | $47.32 |
| AR | $41.79 | $47.32 |
| AZ | $42.42 | $46.75 |
| CA | $40.06 | $46.75 |
| CO | $43.02 | $47.32 |
| CT | $44.88 | $47.32 |
| DC | $41.61 | $47.32 |
| DE | $41.61 | $47.32 |
| FL | $41.79 | $47.32 |
| GA | $41.79 | $47.32 |
| HI | $46.75 | — |
| IA | $44.32 | $46.75 |
| ID | $43.02 | $46.75 |
| IL | $44.75 | $47.32 |
| IN | $44.75 | $47.32 |
| KS | $44.32 | $46.75 |
| KY | $41.79 | $47.32 |
| LA | $41.79 | $47.32 |
| MA | $44.88 | $47.32 |
| MD | $41.61 | $47.32 |
| ME | $44.88 | $47.32 |
| MI | $44.75 | $47.32 |
| MN | $44.32 | $47.32 |
| MO | $44.32 | $47.32 |
| MS | $41.79 | $47.32 |
| MT | $43.02 | $46.75 |
| NC | $41.79 | $47.32 |
| ND | $44.32 | $46.75 |
| NE | $44.32 | $46.75 |
| NH | $44.88 | $47.32 |
| NJ | $41.61 | $47.32 |
| NM | $42.42 | $47.32 |
| NV | $40.06 | $46.75 |
| NY | $41.61 | $47.32 |
| OH | $44.75 | $47.32 |
| OK | $42.42 | $47.32 |
| OR | $40.06 | $46.75 |
| PA | $41.61 | $47.32 |
| PR | $52.08 | — |
| RI | $44.88 | $47.32 |
| SC | $41.79 | $47.32 |
| SD | $44.32 | $46.75 |
| TN | $41.79 | $47.32 |
| TX | $42.42 | $47.32 |
| UT | $43.02 | $47.32 |
| VA | $41.79 | $47.32 |
| VI | $47.32 | — |
| VT | $44.88 | $47.32 |
| WA | $40.06 | $47.32 |
| WI | $44.75 | $47.32 |
| WV | $41.79 | $47.32 |
| WY | $43.02 | $46.75 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $46.74 to $57.02 depending on state and rural status.
Former-CBA payment limits: ceiling $47.52 · floor $40.39
| State | Non-rural | Rural |
|---|---|---|
| AK | $46.74 | — |
| AL | $47.52 | — |
| AR | $47.52 | — |
| AZ | $46.74 | — |
| CA | $46.74 | — |
| CO | $47.52 | — |
| CT | $47.52 | — |
| DC | $47.52 | — |
| DE | $47.52 | — |
| FL | $47.52 | — |
| GA | $47.52 | — |
| HI | $46.74 | — |
| IA | $46.74 | — |
| ID | $46.74 | — |
| IL | $47.52 | — |
| IN | $47.52 | — |
| KS | $46.74 | — |
| KY | $47.52 | — |
| LA | $47.52 | — |
| MA | $47.52 | — |
| MD | $47.52 | — |
| ME | $47.52 | — |
| MI | $47.52 | — |
| MN | $47.52 | — |
| MO | $47.52 | — |
| MS | $47.52 | — |
| MT | $46.74 | — |
| NC | $47.52 | — |
| ND | $46.74 | — |
| NE | $46.74 | — |
| NH | $47.52 | — |
| NJ | $47.52 | — |
| NM | $47.52 | — |
| NV | $46.74 | — |
| NY | $47.52 | — |
| OH | $47.52 | — |
| OK | $47.52 | — |
| OR | $46.74 | — |
| PA | $47.52 | — |
| PR | $57.02 | — |
| RI | $47.52 | — |
| SC | $47.52 | — |
| SD | $46.74 | — |
| TN | $47.52 | — |
| TX | $47.52 | — |
| UT | $47.52 | — |
| VA | $47.52 | — |
| VI | $47.52 | — |
| VT | $47.52 | — |
| WA | $47.52 | — |
| WI | $47.52 | — |
| WV | $47.52 | — |
| WY | $46.74 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0065 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related K-codes
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