K0072 — Front caster assembly, complete, with semi-pneumatic tire, replacement only, each
HCPCS Level II K-code · short descriptor: “Fr cstr semi-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
- 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.
K0072 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $78.14 to $101.71 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $86.60 | — |
| AL | $82.46 | $92.35 |
| AR | $82.46 | $92.35 |
| AZ | $82.59 | $91.56 |
| CA | $78.14 | $91.56 |
| CO | $82.76 | $92.35 |
| CT | $86.56 | $92.35 |
| DC | $81.29 | $92.35 |
| DE | $81.29 | $92.35 |
| FL | $82.46 | $92.35 |
| GA | $82.46 | $92.35 |
| HI | $86.60 | — |
| IA | $81.56 | $91.56 |
| ID | $82.76 | $86.60 |
| IL | $85.69 | $92.35 |
| IN | $85.69 | $92.35 |
| KS | $81.56 | $86.60 |
| KY | $82.46 | $92.35 |
| LA | $82.46 | $92.35 |
| MA | $86.56 | $92.35 |
| MD | $81.29 | $92.35 |
| ME | $86.56 | $92.35 |
| MI | $85.69 | $92.35 |
| MN | $81.56 | $92.35 |
| MO | $81.56 | $92.35 |
| MS | $82.46 | $92.35 |
| MT | $82.76 | $86.60 |
| NC | $82.46 | $92.35 |
| ND | $81.56 | $86.60 |
| NE | $81.56 | $86.60 |
| NH | $86.56 | $92.35 |
| NJ | $81.29 | $92.35 |
| NM | $82.59 | $92.35 |
| NV | $78.14 | $86.60 |
| NY | $81.29 | $92.35 |
| OH | $85.69 | $92.35 |
| OK | $82.59 | $92.35 |
| OR | $78.14 | $86.60 |
| PA | $81.29 | $92.35 |
| PR | $101.71 | — |
| RI | $86.56 | $92.35 |
| SC | $82.46 | $92.35 |
| SD | $81.56 | $86.60 |
| TN | $82.46 | $92.35 |
| TX | $82.59 | $92.35 |
| UT | $82.76 | $91.28 |
| VA | $82.46 | $92.35 |
| VI | $92.35 | — |
| VT | $86.56 | $92.35 |
| WA | $78.14 | $86.60 |
| WI | $85.69 | $92.35 |
| WV | $82.46 | $92.35 |
| WY | $82.76 | $91.56 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $86.60 to $112.44 depending on state and rural status.
Former-CBA payment limits: ceiling $93.72 · floor $79.66
| State | Non-rural | Rural |
|---|---|---|
| AK | $86.60 | — |
| AL | $93.72 | — |
| AR | $93.72 | — |
| AZ | $92.15 | — |
| CA | $92.15 | — |
| CO | $93.72 | — |
| CT | $93.72 | — |
| DC | $93.72 | — |
| DE | $93.72 | — |
| FL | $93.72 | — |
| GA | $93.72 | — |
| HI | $86.60 | — |
| IA | $92.15 | — |
| ID | $86.60 | — |
| IL | $93.72 | — |
| IN | $93.72 | — |
| KS | $86.60 | — |
| KY | $93.72 | — |
| LA | $93.72 | — |
| MA | $93.72 | — |
| MD | $93.72 | — |
| ME | $93.72 | — |
| MI | $93.72 | — |
| MN | $93.72 | — |
| MO | $93.72 | — |
| MS | $93.72 | — |
| MT | $86.60 | — |
| NC | $93.72 | — |
| ND | $86.60 | — |
| NE | $86.60 | — |
| NH | $93.72 | — |
| NJ | $93.72 | — |
| NM | $93.72 | — |
| NV | $86.60 | — |
| NY | $93.72 | — |
| OH | $93.72 | — |
| OK | $93.72 | — |
| OR | $86.60 | — |
| PA | $93.72 | — |
| PR | $112.44 | — |
| RI | $93.72 | — |
| SC | $93.72 | — |
| SD | $86.60 | — |
| TN | $93.72 | — |
| TX | $93.72 | — |
| UT | $91.57 | — |
| VA | $93.72 | — |
| VI | $93.72 | — |
| VT | $93.72 | — |
| WA | $86.60 | — |
| WI | $93.72 | — |
| WV | $93.72 | — |
| WY | $92.15 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $7.81 to $10.17 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.65 | — |
| AL | $8.25 | $9.24 |
| AR | $8.25 | $9.24 |
| AZ | $8.26 | $9.16 |
| CA | $7.81 | $9.16 |
| CO | $8.28 | $9.24 |
| CT | $8.66 | $9.24 |
| DC | $8.13 | $9.24 |
| DE | $8.13 | $9.24 |
| FL | $8.25 | $9.24 |
| GA | $8.25 | $9.24 |
| HI | $8.65 | — |
| IA | $8.16 | $9.16 |
| ID | $8.28 | $8.65 |
| IL | $8.57 | $9.24 |
| IN | $8.57 | $9.24 |
| KS | $8.16 | $8.65 |
| KY | $8.25 | $9.24 |
| LA | $8.25 | $9.24 |
| MA | $8.66 | $9.24 |
| MD | $8.13 | $9.24 |
| ME | $8.66 | $9.24 |
| MI | $8.57 | $9.24 |
| MN | $8.16 | $9.24 |
| MO | $8.16 | $9.24 |
| MS | $8.25 | $9.24 |
| MT | $8.28 | $8.65 |
| NC | $8.25 | $9.24 |
| ND | $8.16 | $8.65 |
| NE | $8.16 | $8.65 |
| NH | $8.66 | $9.24 |
| NJ | $8.13 | $9.24 |
| NM | $8.26 | $9.24 |
| NV | $7.81 | $8.65 |
| NY | $8.13 | $9.24 |
| OH | $8.57 | $9.24 |
| OK | $8.26 | $9.24 |
| OR | $7.81 | $8.65 |
| PA | $8.13 | $9.24 |
| PR | $10.17 | — |
| RI | $8.66 | $9.24 |
| SC | $8.25 | $9.24 |
| SD | $8.16 | $8.65 |
| TN | $8.25 | $9.24 |
| TX | $8.26 | $9.24 |
| UT | $8.28 | $9.13 |
| VA | $8.25 | $9.24 |
| VI | $9.24 | — |
| VT | $8.66 | $9.24 |
| WA | $7.81 | $8.65 |
| WI | $8.57 | $9.24 |
| WV | $8.25 | $9.24 |
| WY | $8.28 | $9.16 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.65 to $11.24 depending on state and rural status.
Former-CBA payment limits: ceiling $9.38 · floor $7.97
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.65 | — |
| AL | $9.38 | — |
| AR | $9.38 | — |
| AZ | $9.22 | — |
| CA | $9.22 | — |
| CO | $9.38 | — |
| CT | $9.38 | — |
| DC | $9.38 | — |
| DE | $9.38 | — |
| FL | $9.38 | — |
| GA | $9.38 | — |
| HI | $8.65 | — |
| IA | $9.22 | — |
| ID | $8.65 | — |
| IL | $9.38 | — |
| IN | $9.38 | — |
| KS | $8.65 | — |
| KY | $9.38 | — |
| LA | $9.38 | — |
| MA | $9.38 | — |
| MD | $9.38 | — |
| ME | $9.38 | — |
| MI | $9.38 | — |
| MN | $9.38 | — |
| MO | $9.38 | — |
| MS | $9.38 | — |
| MT | $8.65 | — |
| NC | $9.38 | — |
| ND | $8.65 | — |
| NE | $8.65 | — |
| NH | $9.38 | — |
| NJ | $9.38 | — |
| NM | $9.38 | — |
| NV | $8.65 | — |
| NY | $9.38 | — |
| OH | $9.38 | — |
| OK | $9.38 | — |
| OR | $8.65 | — |
| PA | $9.38 | — |
| PR | $11.24 | — |
| RI | $9.38 | — |
| SC | $9.38 | — |
| SD | $8.65 | — |
| TN | $9.38 | — |
| TX | $9.38 | — |
| UT | $9.15 | — |
| VA | $9.38 | — |
| VI | $9.38 | — |
| VT | $9.38 | — |
| WA | $8.65 | — |
| WI | $9.38 | — |
| WV | $9.38 | — |
| WY | $9.22 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $58.61 to $76.30 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $64.96 | — |
| AL | $61.85 | $69.26 |
| AR | $61.85 | $69.26 |
| AZ | $61.94 | $68.68 |
| CA | $58.61 | $68.68 |
| CO | $62.07 | $69.26 |
| CT | $64.92 | $69.26 |
| DC | $60.97 | $69.26 |
| DE | $60.97 | $69.26 |
| FL | $61.85 | $69.26 |
| GA | $61.85 | $69.26 |
| HI | $64.96 | — |
| IA | $61.17 | $68.68 |
| ID | $62.07 | $64.96 |
| IL | $64.27 | $69.26 |
| IN | $64.27 | $69.26 |
| KS | $61.17 | $64.96 |
| KY | $61.85 | $69.26 |
| LA | $61.85 | $69.26 |
| MA | $64.92 | $69.26 |
| MD | $60.97 | $69.26 |
| ME | $64.92 | $69.26 |
| MI | $64.27 | $69.26 |
| MN | $61.17 | $69.26 |
| MO | $61.17 | $69.26 |
| MS | $61.85 | $69.26 |
| MT | $62.07 | $64.96 |
| NC | $61.85 | $69.26 |
| ND | $61.17 | $64.96 |
| NE | $61.17 | $64.96 |
| NH | $64.92 | $69.26 |
| NJ | $60.97 | $69.26 |
| NM | $61.94 | $69.26 |
| NV | $58.61 | $64.96 |
| NY | $60.97 | $69.26 |
| OH | $64.27 | $69.26 |
| OK | $61.94 | $69.26 |
| OR | $58.61 | $64.96 |
| PA | $60.97 | $69.26 |
| PR | $76.30 | — |
| RI | $64.92 | $69.26 |
| SC | $61.85 | $69.26 |
| SD | $61.17 | $64.96 |
| TN | $61.85 | $69.26 |
| TX | $61.94 | $69.26 |
| UT | $62.07 | $68.44 |
| VA | $61.85 | $69.26 |
| VI | $69.26 | — |
| VT | $64.92 | $69.26 |
| WA | $58.61 | $64.96 |
| WI | $64.27 | $69.26 |
| WV | $61.85 | $69.26 |
| WY | $62.07 | $68.68 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $64.96 to $84.37 depending on state and rural status.
Former-CBA payment limits: ceiling $70.28 · floor $59.74
| State | Non-rural | Rural |
|---|---|---|
| AK | $64.96 | — |
| AL | $70.28 | — |
| AR | $70.28 | — |
| AZ | $69.12 | — |
| CA | $69.12 | — |
| CO | $70.28 | — |
| CT | $70.28 | — |
| DC | $70.28 | — |
| DE | $70.28 | — |
| FL | $70.28 | — |
| GA | $70.28 | — |
| HI | $64.96 | — |
| IA | $69.12 | — |
| ID | $64.96 | — |
| IL | $70.28 | — |
| IN | $70.28 | — |
| KS | $64.96 | — |
| KY | $70.28 | — |
| LA | $70.28 | — |
| MA | $70.28 | — |
| MD | $70.28 | — |
| ME | $70.28 | — |
| MI | $70.28 | — |
| MN | $70.28 | — |
| MO | $70.28 | — |
| MS | $70.28 | — |
| MT | $64.96 | — |
| NC | $70.28 | — |
| ND | $64.96 | — |
| NE | $64.96 | — |
| NH | $70.28 | — |
| NJ | $70.28 | — |
| NM | $70.28 | — |
| NV | $64.96 | — |
| NY | $70.28 | — |
| OH | $70.28 | — |
| OK | $70.28 | — |
| OR | $64.96 | — |
| PA | $70.28 | — |
| PR | $84.37 | — |
| RI | $70.28 | — |
| SC | $70.28 | — |
| SD | $64.96 | — |
| TN | $70.28 | — |
| TX | $70.28 | — |
| UT | $68.67 | — |
| VA | $70.28 | — |
| VI | $70.28 | — |
| VT | $70.28 | — |
| WA | $64.96 | — |
| WI | $70.28 | — |
| WV | $70.28 | — |
| WY | $69.12 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0072 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
Bill K0072 with confidence
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