MyMedi-AI

K0073 — Caster pin lock, each

HCPCS Level II K-code · short descriptor: “Caster pin lock each”

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.

K0073 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $40.48 to $52.45 depending on state and rural status.

StateNon-ruralRural
AK$46.90—
AL$42.94$48.62
AR$42.94$48.62
AZ$42.51$46.90
CA$40.48$46.90
CO$43.37$48.62
CT$45.21$48.62
DC$42.35$47.66
DE$42.35$48.62
FL$42.94$47.66
GA$42.94$48.62
HI$46.90—
IA$43.76$46.90
ID$43.37$46.90
IL$45.25$47.66
IN$45.25$48.62
KS$43.76$46.90
KY$42.94$48.62
LA$42.94$48.62
MA$45.21$48.62
MD$42.35$47.66
ME$45.21$48.62
MI$45.25$48.62
MN$43.76$48.62
MO$43.76$48.25
MS$42.94$48.62
MT$43.37$46.90
NC$42.94$48.39
ND$43.76$46.90
NE$43.76$46.90
NH$45.21$48.62
NJ$42.35$48.62
NM$42.51$48.62
NV$40.48$46.90
NY$42.35$48.62
OH$45.25$47.66
OK$42.51$48.62
OR$40.48$46.90
PA$42.35$48.62
PR$52.45—
RI$45.21$48.62
SC$42.94$48.62
SD$43.76$46.90
TN$42.94$48.62
TX$42.51$47.66
UT$43.37$48.62
VA$42.94$47.66
VI$48.62—
VT$45.21$48.62
WA$40.48$48.62
WI$45.25$48.62
WV$42.94$47.66
WY$43.37$46.90

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $46.89 to $57.27 depending on state and rural status.

Former-CBA payment limits: ceiling $49.61 · floor $42.17

StateNon-ruralRural
AK$46.89—
AL$49.61—
AR$49.61—
AZ$46.89—
CA$46.89—
CO$49.61—
CT$49.61—
DC$47.71—
DE$49.61—
FL$47.71—
GA$49.61—
HI$46.89—
IA$46.89—
ID$46.89—
IL$47.71—
IN$49.61—
KS$46.89—
KY$49.61—
LA$49.61—
MA$49.61—
MD$47.71—
ME$49.61—
MI$49.61—
MN$49.61—
MO$48.89—
MS$49.61—
MT$46.89—
NC$49.14—
ND$46.89—
NE$46.89—
NH$49.61—
NJ$49.61—
NM$49.61—
NV$46.89—
NY$49.61—
OH$47.71—
OK$49.61—
OR$46.89—
PA$49.61—
PR$57.27—
RI$49.61—
SC$49.61—
SD$46.89—
TN$49.61—
TX$47.71—
UT$49.61—
VA$47.71—
VI$49.61—
VT$49.61—
WA$49.61—
WI$49.61—
WV$47.71—
WY$46.89—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.05 to $5.24 depending on state and rural status.

StateNon-ruralRural
AK$4.69—
AL$4.29$4.87
AR$4.29$4.87
AZ$4.25$4.69
CA$4.05$4.69
CO$4.34$4.87
CT$4.52$4.87
DC$4.24$4.79
DE$4.24$4.87
FL$4.29$4.79
GA$4.29$4.87
HI$4.69—
IA$4.38$4.69
ID$4.34$4.69
IL$4.52$4.79
IN$4.52$4.87
KS$4.38$4.69
KY$4.29$4.87
LA$4.29$4.87
MA$4.52$4.87
MD$4.24$4.79
ME$4.52$4.87
MI$4.52$4.87
MN$4.38$4.87
MO$4.38$4.84
MS$4.29$4.87
MT$4.34$4.69
NC$4.29$4.85
ND$4.38$4.69
NE$4.38$4.69
NH$4.52$4.87
NJ$4.24$4.87
NM$4.25$4.87
NV$4.05$4.69
NY$4.24$4.87
OH$4.52$4.79
OK$4.25$4.87
OR$4.05$4.69
PA$4.24$4.87
PR$5.24—
RI$4.52$4.87
SC$4.29$4.87
SD$4.38$4.69
TN$4.29$4.87
TX$4.25$4.79
UT$4.34$4.87
VA$4.29$4.79
VI$4.87—
VT$4.52$4.87
WA$4.05$4.87
WI$4.52$4.87
WV$4.29$4.79
WY$4.34$4.69

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.70 to $5.71 depending on state and rural status.

Former-CBA payment limits: ceiling $4.97 · floor $4.22

StateNon-ruralRural
AK$4.70—
AL$4.97—
AR$4.97—
AZ$4.70—
CA$4.70—
CO$4.97—
CT$4.97—
DC$4.83—
DE$4.97—
FL$4.83—
GA$4.97—
HI$4.70—
IA$4.70—
ID$4.70—
IL$4.83—
IN$4.97—
KS$4.70—
KY$4.97—
LA$4.97—
MA$4.97—
MD$4.83—
ME$4.97—
MI$4.97—
MN$4.97—
MO$4.93—
MS$4.97—
MT$4.70—
NC$4.94—
ND$4.70—
NE$4.70—
NH$4.97—
NJ$4.97—
NM$4.97—
NV$4.70—
NY$4.97—
OH$4.83—
OK$4.97—
OR$4.70—
PA$4.97—
PR$5.71—
RI$4.97—
SC$4.97—
SD$4.70—
TN$4.97—
TX$4.83—
UT$4.97—
VA$4.83—
VI$4.97—
VT$4.97—
WA$4.97—
WI$4.97—
WV$4.83—
WY$4.70—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $30.36 to $39.33 depending on state and rural status.

StateNon-ruralRural
AK$35.15—
AL$32.21$36.46
AR$32.21$36.46
AZ$31.88$35.15
CA$30.36$35.15
CO$32.53$36.46
CT$33.91$36.46
DC$31.76$35.74
DE$31.76$36.46
FL$32.21$35.74
GA$32.21$36.46
HI$35.15—
IA$32.82$35.15
ID$32.53$35.15
IL$33.94$35.74
IN$33.94$36.46
KS$32.82$35.15
KY$32.21$36.46
LA$32.21$36.46
MA$33.91$36.46
MD$31.76$35.74
ME$33.91$36.46
MI$33.94$36.46
MN$32.82$36.46
MO$32.82$36.21
MS$32.21$36.46
MT$32.53$35.15
NC$32.21$36.28
ND$32.82$35.15
NE$32.82$35.15
NH$33.91$36.46
NJ$31.76$36.46
NM$31.88$36.46
NV$30.36$35.15
NY$31.76$36.46
OH$33.94$35.74
OK$31.88$36.46
OR$30.36$35.15
PA$31.76$36.46
PR$39.33—
RI$33.91$36.46
SC$32.21$36.46
SD$32.82$35.15
TN$32.21$36.46
TX$31.88$35.74
UT$32.53$36.46
VA$32.21$35.74
VI$36.46—
VT$33.91$36.46
WA$30.36$36.46
WI$33.94$36.46
WV$32.21$35.74
WY$32.53$35.15

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $35.16 to $42.93 depending on state and rural status.

Former-CBA payment limits: ceiling $37.19 · floor $31.61

StateNon-ruralRural
AK$35.16—
AL$37.19—
AR$37.19—
AZ$35.16—
CA$35.16—
CO$37.19—
CT$37.19—
DC$35.75—
DE$37.19—
FL$35.75—
GA$37.19—
HI$35.16—
IA$35.16—
ID$35.16—
IL$35.75—
IN$37.19—
KS$35.16—
KY$37.19—
LA$37.19—
MA$37.19—
MD$35.75—
ME$37.19—
MI$37.19—
MN$37.19—
MO$36.70—
MS$37.19—
MT$35.16—
NC$36.83—
ND$35.16—
NE$35.16—
NH$37.19—
NJ$37.19—
NM$37.19—
NV$35.16—
NY$37.19—
OH$35.75—
OK$37.19—
OR$35.16—
PA$37.19—
PR$42.93—
RI$37.19—
SC$37.19—
SD$35.16—
TN$37.19—
TX$35.75—
UT$37.19—
VA$35.75—
VI$37.19—
VT$37.19—
WA$37.19—
WI$37.19—
WV$35.75—
WY$35.16—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps K0073 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

Related K-codes

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