K0070 — Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each
HCPCS Level II K-code · short descriptor: “Rr whl compl pne tire 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
- Capped rental
- 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.
K0070 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $17.94 to $28.41 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.58 | — |
| AL | $20.37 | $23.70 |
| AR | $20.37 | $23.70 |
| AZ | $19.22 | $23.47 |
| CA | $18.71 | $23.47 |
| CO | $19.48 | $23.70 |
| CT | $17.94 | $23.70 |
| DC | $18.27 | $23.70 |
| DE | $18.27 | $23.70 |
| FL | $20.37 | $23.70 |
| GA | $20.37 | $23.70 |
| HI | $25.58 | — |
| IA | $19.50 | $23.47 |
| ID | $19.48 | $23.47 |
| IL | $19.97 | $23.70 |
| IN | $19.97 | $23.70 |
| KS | $19.50 | $23.47 |
| KY | $20.37 | $23.70 |
| LA | $20.37 | $23.70 |
| MA | $17.94 | $23.70 |
| MD | $18.27 | $23.70 |
| ME | $17.94 | $23.70 |
| MI | $19.97 | $23.70 |
| MN | $19.50 | $23.70 |
| MO | $19.50 | $23.70 |
| MS | $20.37 | $23.70 |
| MT | $19.48 | $23.47 |
| NC | $20.37 | $23.70 |
| ND | $19.50 | $23.47 |
| NE | $19.50 | $23.47 |
| NH | $17.94 | $23.70 |
| NJ | $18.27 | $23.70 |
| NM | $19.22 | $23.70 |
| NV | $18.71 | $23.47 |
| NY | $18.27 | $23.70 |
| OH | $19.97 | $23.70 |
| OK | $19.22 | $23.70 |
| OR | $18.71 | $23.47 |
| PA | $18.27 | $23.70 |
| PR | $28.41 | — |
| RI | $17.94 | $23.70 |
| SC | $20.37 | $23.70 |
| SD | $19.50 | $21.74 |
| TN | $20.37 | $23.70 |
| TX | $19.22 | $23.70 |
| UT | $19.48 | $23.70 |
| VA | $20.37 | $23.70 |
| VI | $25.81 | — |
| VT | $17.94 | $23.70 |
| WA | $18.71 | $23.47 |
| WI | $19.97 | $23.70 |
| WV | $20.37 | $23.70 |
| WY | $19.48 | $23.47 |
RR + KU — Monthly rental Capped rental
Medicare allowable ranges from $22.19 to $31.33 depending on state and rural status.
Former-CBA payment limits: ceiling $26.11 · floor $22.19
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.68 | — |
| AL | $26.11 | — |
| AR | $26.11 | — |
| AZ | $25.68 | — |
| CA | $25.68 | — |
| CO | $26.11 | — |
| CT | $26.11 | — |
| DC | $26.11 | — |
| DE | $26.11 | — |
| FL | $26.11 | — |
| GA | $26.11 | — |
| HI | $25.68 | — |
| IA | $25.68 | — |
| ID | $25.68 | — |
| IL | $26.11 | — |
| IN | $26.11 | — |
| KS | $25.68 | — |
| KY | $26.11 | — |
| LA | $26.11 | — |
| MA | $26.11 | — |
| MD | $26.11 | — |
| ME | $26.11 | — |
| MI | $26.11 | — |
| MN | $26.11 | — |
| MO | $26.11 | — |
| MS | $26.11 | — |
| MT | $25.68 | — |
| NC | $26.11 | — |
| ND | $25.68 | — |
| NE | $25.68 | — |
| NH | $26.11 | — |
| NJ | $26.11 | — |
| NM | $26.11 | — |
| NV | $25.68 | — |
| NY | $26.11 | — |
| OH | $26.11 | — |
| OK | $26.11 | — |
| OR | $25.68 | — |
| PA | $26.11 | — |
| PR | $31.33 | — |
| RI | $26.11 | — |
| SC | $26.11 | — |
| SD | $22.19 | — |
| TN | $26.11 | — |
| TX | $26.11 | — |
| UT | $26.11 | — |
| VA | $26.11 | — |
| VI | $26.11 | — |
| VT | $26.11 | — |
| WA | $25.68 | — |
| WI | $26.11 | — |
| WV | $26.11 | — |
| WY | $25.68 | — |
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.
Common denial codes to watch
Related K-codes
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