K0077 — Front caster assembly, complete, with solid tire, replacement only, each
HCPCS Level II K-code · short descriptor: “Fr cstr asmb sol 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 2026-10-26; 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 2026-10-26; 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.
K0077 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $60.10 to $91.29 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $82.20 | — |
| AL | $67.07 | $77.94 |
| AR | $67.07 | $77.94 |
| AZ | $65.07 | $77.22 |
| CA | $64.50 | $77.22 |
| CO | $70.81 | $77.94 |
| CT | $60.10 | $77.94 |
| DC | $60.81 | $77.94 |
| DE | $60.81 | $77.94 |
| FL | $67.07 | $77.94 |
| GA | $67.07 | $77.94 |
| HI | $82.20 | — |
| IA | $66.02 | $77.22 |
| ID | $70.81 | $77.22 |
| IL | $68.42 | $77.94 |
| IN | $68.42 | $77.94 |
| KS | $66.02 | $77.22 |
| KY | $67.07 | $77.94 |
| LA | $67.07 | $77.94 |
| MA | $60.10 | $77.94 |
| MD | $60.81 | $77.94 |
| ME | $60.10 | $77.94 |
| MI | $68.42 | $77.94 |
| MN | $66.02 | $77.94 |
| MO | $66.02 | $77.94 |
| MS | $67.07 | $77.94 |
| MT | $70.81 | $77.22 |
| NC | $67.07 | $77.94 |
| ND | $66.02 | $77.22 |
| NE | $66.02 | $77.22 |
| NH | $60.10 | $77.94 |
| NJ | $60.81 | $77.94 |
| NM | $65.07 | $77.94 |
| NV | $64.50 | $77.22 |
| NY | $60.81 | $77.94 |
| OH | $68.42 | $77.94 |
| OK | $65.07 | $77.94 |
| OR | $64.50 | $77.22 |
| PA | $60.81 | $77.94 |
| PR | $91.29 | — |
| RI | $60.10 | $77.94 |
| SC | $67.07 | $77.94 |
| SD | $66.02 | $77.22 |
| TN | $67.07 | $77.94 |
| TX | $65.07 | $77.94 |
| UT | $70.81 | $77.94 |
| VA | $67.07 | $77.94 |
| VI | $82.92 | — |
| VT | $60.10 | $77.94 |
| WA | $64.50 | $77.94 |
| WI | $68.42 | $77.94 |
| WV | $67.07 | $77.94 |
| WY | $70.81 | $77.22 |
NU + KU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $82.44 to $100.62 depending on state and rural status.
Former-CBA payment limits: ceiling $83.88 · floor $71.30
| State | Non-rural | Rural |
|---|---|---|
| AK | $82.44 | — |
| AL | $83.88 | — |
| AR | $83.88 | — |
| AZ | $82.44 | — |
| CA | $82.44 | — |
| CO | $83.88 | — |
| CT | $83.88 | — |
| DC | $83.88 | — |
| DE | $83.88 | — |
| FL | $83.88 | — |
| GA | $83.88 | — |
| HI | $82.44 | — |
| IA | $82.44 | — |
| ID | $82.44 | — |
| IL | $83.88 | — |
| IN | $83.88 | — |
| KS | $82.44 | — |
| KY | $83.88 | — |
| LA | $83.88 | — |
| MA | $83.88 | — |
| MD | $83.88 | — |
| ME | $83.88 | — |
| MI | $83.88 | — |
| MN | $83.88 | — |
| MO | $83.88 | — |
| MS | $83.88 | — |
| MT | $82.44 | — |
| NC | $83.88 | — |
| ND | $82.44 | — |
| NE | $82.44 | — |
| NH | $83.88 | — |
| NJ | $83.88 | — |
| NM | $83.88 | — |
| NV | $82.44 | — |
| NY | $83.88 | — |
| OH | $83.88 | — |
| OK | $83.88 | — |
| OR | $82.44 | — |
| PA | $83.88 | — |
| PR | $100.62 | — |
| RI | $83.88 | — |
| SC | $83.88 | — |
| SD | $82.44 | — |
| TN | $83.88 | — |
| TX | $83.88 | — |
| UT | $83.88 | — |
| VA | $83.88 | — |
| VI | $83.88 | — |
| VT | $83.88 | — |
| WA | $83.88 | — |
| WI | $83.88 | — |
| WV | $83.88 | — |
| WY | $82.44 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $6.01 to $9.13 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.21 | — |
| AL | $6.71 | $7.79 |
| AR | $6.71 | $7.79 |
| AZ | $6.51 | $7.72 |
| CA | $6.45 | $7.72 |
| CO | $7.08 | $7.79 |
| CT | $6.01 | $7.79 |
| DC | $6.08 | $7.79 |
| DE | $6.08 | $7.79 |
| FL | $6.71 | $7.79 |
| GA | $6.71 | $7.79 |
| HI | $8.21 | — |
| IA | $6.60 | $7.72 |
| ID | $7.08 | $7.72 |
| IL | $6.84 | $7.79 |
| IN | $6.84 | $7.79 |
| KS | $6.60 | $7.72 |
| KY | $6.71 | $7.79 |
| LA | $6.71 | $7.79 |
| MA | $6.01 | $7.79 |
| MD | $6.08 | $7.79 |
| ME | $6.01 | $7.79 |
| MI | $6.84 | $7.79 |
| MN | $6.60 | $7.79 |
| MO | $6.60 | $7.79 |
| MS | $6.71 | $7.79 |
| MT | $7.08 | $7.72 |
| NC | $6.71 | $7.79 |
| ND | $6.60 | $7.72 |
| NE | $6.60 | $7.72 |
| NH | $6.01 | $7.79 |
| NJ | $6.08 | $7.79 |
| NM | $6.51 | $7.79 |
| NV | $6.45 | $7.72 |
| NY | $6.08 | $7.79 |
| OH | $6.84 | $7.79 |
| OK | $6.51 | $7.79 |
| OR | $6.45 | $7.72 |
| PA | $6.08 | $7.79 |
| PR | $9.13 | — |
| RI | $6.01 | $7.79 |
| SC | $6.71 | $7.79 |
| SD | $6.60 | $7.72 |
| TN | $6.71 | $7.79 |
| TX | $6.51 | $7.79 |
| UT | $7.08 | $7.79 |
| VA | $6.71 | $7.79 |
| VI | $8.28 | — |
| VT | $6.01 | $7.79 |
| WA | $6.45 | $7.79 |
| WI | $6.84 | $7.79 |
| WV | $6.71 | $7.79 |
| WY | $7.08 | $7.72 |
RR + KU — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.21 to $10.06 depending on state and rural status.
Former-CBA payment limits: ceiling $8.35 · floor $7.10
| State | Non-rural | Rural |
|---|---|---|
| AK | $8.21 | — |
| AL | $8.35 | — |
| AR | $8.35 | — |
| AZ | $8.21 | — |
| CA | $8.21 | — |
| CO | $8.35 | — |
| CT | $8.35 | — |
| DC | $8.35 | — |
| DE | $8.35 | — |
| FL | $8.35 | — |
| GA | $8.35 | — |
| HI | $8.21 | — |
| IA | $8.21 | — |
| ID | $8.21 | — |
| IL | $8.35 | — |
| IN | $8.35 | — |
| KS | $8.21 | — |
| KY | $8.35 | — |
| LA | $8.35 | — |
| MA | $8.35 | — |
| MD | $8.35 | — |
| ME | $8.35 | — |
| MI | $8.35 | — |
| MN | $8.35 | — |
| MO | $8.35 | — |
| MS | $8.35 | — |
| MT | $8.21 | — |
| NC | $8.35 | — |
| ND | $8.21 | — |
| NE | $8.21 | — |
| NH | $8.35 | — |
| NJ | $8.35 | — |
| NM | $8.35 | — |
| NV | $8.21 | — |
| NY | $8.35 | — |
| OH | $8.35 | — |
| OK | $8.35 | — |
| OR | $8.21 | — |
| PA | $8.35 | — |
| PR | $10.06 | — |
| RI | $8.35 | — |
| SC | $8.35 | — |
| SD | $8.21 | — |
| TN | $8.35 | — |
| TX | $8.35 | — |
| UT | $8.35 | — |
| VA | $8.35 | — |
| VI | $8.35 | — |
| VT | $8.35 | — |
| WA | $8.35 | — |
| WI | $8.35 | — |
| WV | $8.35 | — |
| WY | $8.21 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $45.08 to $68.47 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $61.64 | — |
| AL | $50.31 | $58.44 |
| AR | $50.31 | $58.44 |
| AZ | $48.80 | $57.90 |
| CA | $48.38 | $57.90 |
| CO | $53.11 | $58.44 |
| CT | $45.08 | $58.44 |
| DC | $45.61 | $58.44 |
| DE | $45.61 | $58.44 |
| FL | $50.31 | $58.44 |
| GA | $50.31 | $58.44 |
| HI | $61.64 | — |
| IA | $49.52 | $57.90 |
| ID | $53.11 | $57.90 |
| IL | $51.32 | $58.44 |
| IN | $51.32 | $58.44 |
| KS | $49.52 | $57.90 |
| KY | $50.31 | $58.44 |
| LA | $50.31 | $58.44 |
| MA | $45.08 | $58.44 |
| MD | $45.61 | $58.44 |
| ME | $45.08 | $58.44 |
| MI | $51.32 | $58.44 |
| MN | $49.52 | $58.44 |
| MO | $49.52 | $58.44 |
| MS | $50.31 | $58.44 |
| MT | $53.11 | $57.90 |
| NC | $50.31 | $58.44 |
| ND | $49.52 | $57.90 |
| NE | $49.52 | $57.90 |
| NH | $45.08 | $58.44 |
| NJ | $45.61 | $58.44 |
| NM | $48.80 | $58.44 |
| NV | $48.38 | $57.90 |
| NY | $45.61 | $58.44 |
| OH | $51.32 | $58.44 |
| OK | $48.80 | $58.44 |
| OR | $48.38 | $57.90 |
| PA | $45.61 | $58.44 |
| PR | $68.47 | — |
| RI | $45.08 | $58.44 |
| SC | $50.31 | $58.44 |
| SD | $49.52 | $57.90 |
| TN | $50.31 | $58.44 |
| TX | $48.80 | $58.44 |
| UT | $53.11 | $58.44 |
| VA | $50.31 | $58.44 |
| VI | $62.18 | — |
| VT | $45.08 | $58.44 |
| WA | $48.38 | $58.44 |
| WI | $51.32 | $58.44 |
| WV | $50.31 | $58.44 |
| WY | $53.11 | $57.90 |
UE + KU — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $61.81 to $75.46 depending on state and rural status.
Former-CBA payment limits: ceiling $62.89 · floor $53.46
| State | Non-rural | Rural |
|---|---|---|
| AK | $61.81 | — |
| AL | $62.89 | — |
| AR | $62.89 | — |
| AZ | $61.81 | — |
| CA | $61.81 | — |
| CO | $62.89 | — |
| CT | $62.89 | — |
| DC | $62.89 | — |
| DE | $62.89 | — |
| FL | $62.89 | — |
| GA | $62.89 | — |
| HI | $61.81 | — |
| IA | $61.81 | — |
| ID | $61.81 | — |
| IL | $62.89 | — |
| IN | $62.89 | — |
| KS | $61.81 | — |
| KY | $62.89 | — |
| LA | $62.89 | — |
| MA | $62.89 | — |
| MD | $62.89 | — |
| ME | $62.89 | — |
| MI | $62.89 | — |
| MN | $62.89 | — |
| MO | $62.89 | — |
| MS | $62.89 | — |
| MT | $61.81 | — |
| NC | $62.89 | — |
| ND | $61.81 | — |
| NE | $61.81 | — |
| NH | $62.89 | — |
| NJ | $62.89 | — |
| NM | $62.89 | — |
| NV | $61.81 | — |
| NY | $62.89 | — |
| OH | $62.89 | — |
| OK | $62.89 | — |
| OR | $61.81 | — |
| PA | $62.89 | — |
| PR | $75.46 | — |
| RI | $62.89 | — |
| SC | $62.89 | — |
| SD | $61.81 | — |
| TN | $62.89 | — |
| TX | $62.89 | — |
| UT | $62.89 | — |
| VA | $62.89 | — |
| VI | $62.89 | — |
| VT | $62.89 | — |
| WA | $62.89 | — |
| WI | $62.89 | — |
| WV | $62.89 | — |
| WY | $61.81 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps K0077 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 K0077 with confidence
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