MyMedi-AI

K0733 — Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)

HCPCS Level II K-code · short descriptor: “12-24hr sealed lead acid”

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.

K0733 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $32.49 to $41.40 depending on state and rural status.

StateNon-ruralRural
AK$37.11—
AL$34.28$37.11
AR$34.28$37.11
AZ$34.51$37.11
CA$32.49$37.11
CO$35.93$37.11
CT$36.15$37.11
DC$34.04$37.11
DE$34.04$37.11
FL$34.28$37.11
GA$34.28$37.11
HI$37.11—
IA$35.23$37.11
ID$35.93$37.11
IL$35.55$37.11
IN$35.55$37.11
KS$35.23$37.11
KY$34.28$37.11
LA$34.28$37.11
MA$36.15$37.11
MD$34.04$37.11
ME$36.15$37.11
MI$35.55$37.11
MN$35.23$37.11
MO$35.23$37.11
MS$34.28$37.11
MT$35.93$37.11
NC$34.28$37.11
ND$35.23$37.11
NE$35.23$37.11
NH$36.15$37.11
NJ$34.04$37.11
NM$34.51$37.11
NV$32.49$37.11
NY$34.04$37.11
OH$35.55$37.11
OK$34.51$37.11
OR$32.49$37.11
PA$34.04$37.11
PR$41.40—
RI$36.15$37.11
SC$34.28$37.11
SD$35.23$37.11
TN$34.28$37.11
TX$34.51$37.11
UT$35.93$37.11
VA$34.28$37.11
VI$37.11—
VT$36.15$37.11
WA$32.49$37.11
WI$35.55$37.11
WV$34.28$37.11
WY$35.93$37.11

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $40.03 to $44.63 depending on state and rural status.

StateNon-ruralRural
AK$40.03—
AL—$40.03
AR—$40.03
AZ—$40.03
CA—$40.03
CO—$40.03
CT—$40.03
DC—$40.03
DE—$40.03
FL—$40.03
GA—$40.03
HI$40.03—
IA—$40.03
ID—$40.03
IL—$40.03
IN—$40.03
KS—$40.03
KY—$40.03
LA—$40.03
MA—$40.03
MD—$40.03
ME—$40.03
MI—$40.03
MN—$40.03
MO—$40.03
MS—$40.03
MT—$40.03
NC—$40.03
ND—$40.03
NE—$40.03
NH—$40.03
NJ—$40.03
NM—$40.03
NV—$40.03
NY—$40.03
OH—$40.03
OK—$40.03
OR—$40.03
PA—$40.03
PR$44.63—
RI—$40.03
SC—$40.03
SD—$40.03
TN—$40.03
TX—$40.03
UT—$40.03
VA—$40.03
VI$40.03—
VT—$40.03
WA—$40.03
WI—$40.03
WV—$40.03
WY—$40.03

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $37.10 to $44.52 depending on state and rural status.

Former-CBA payment limits: ceiling $37.10 · floor $31.54

StateNon-ruralRural
AK$37.10—
AL$37.10—
AR$37.10—
AZ$37.10—
CA$37.10—
CO$37.10—
CT$37.10—
DC$37.10—
DE$37.10—
FL$37.10—
GA$37.10—
HI$37.10—
IA$37.10—
ID$37.10—
IL$37.10—
IN$37.10—
KS$37.10—
KY$37.10—
LA$37.10—
MA$37.10—
MD$37.10—
ME$37.10—
MI$37.10—
MN$37.10—
MO$37.10—
MS$37.10—
MT$37.10—
NC$37.10—
ND$37.10—
NE$37.10—
NH$37.10—
NJ$37.10—
NM$37.10—
NV$37.10—
NY$37.10—
OH$37.10—
OK$37.10—
OR$37.10—
PA$37.10—
PR$44.52—
RI$37.10—
SC$37.10—
SD$37.10—
TN$37.10—
TX$37.10—
UT$37.10—
VA$37.10—
VI$37.10—
VT$37.10—
WA$37.10—
WI$37.10—
WV$37.10—
WY$37.10—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.25 to $4.15 depending on state and rural status.

StateNon-ruralRural
AK$3.74—
AL$3.43$3.74
AR$3.43$3.74
AZ$3.45$3.74
CA$3.25$3.74
CO$3.59$3.74
CT$3.61$3.74
DC$3.40$3.74
DE$3.40$3.74
FL$3.43$3.74
GA$3.43$3.74
HI$3.74—
IA$3.52$3.74
ID$3.59$3.74
IL$3.55$3.74
IN$3.55$3.74
KS$3.52$3.74
KY$3.43$3.74
LA$3.43$3.74
MA$3.61$3.74
MD$3.40$3.74
ME$3.61$3.74
MI$3.55$3.74
MN$3.52$3.74
MO$3.52$3.74
MS$3.43$3.74
MT$3.59$3.74
NC$3.43$3.74
ND$3.52$3.74
NE$3.52$3.74
NH$3.61$3.74
NJ$3.40$3.74
NM$3.45$3.74
NV$3.25$3.74
NY$3.40$3.74
OH$3.55$3.74
OK$3.45$3.74
OR$3.25$3.74
PA$3.40$3.74
PR$4.15—
RI$3.61$3.74
SC$3.43$3.74
SD$3.52$3.74
TN$3.43$3.74
TX$3.45$3.74
UT$3.59$3.74
VA$3.43$3.74
VI$3.74—
VT$3.61$3.74
WA$3.25$3.74
WI$3.55$3.74
WV$3.43$3.74
WY$3.59$3.74

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.03 to $4.47 depending on state and rural status.

StateNon-ruralRural
AK$4.03—
AL—$4.03
AR—$4.03
AZ—$4.03
CA—$4.03
CO—$4.03
CT—$4.03
DC—$4.03
DE—$4.03
FL—$4.03
GA—$4.03
HI$4.03—
IA—$4.03
ID—$4.03
IL—$4.03
IN—$4.03
KS—$4.03
KY—$4.03
LA—$4.03
MA—$4.03
MD—$4.03
ME—$4.03
MI—$4.03
MN—$4.03
MO—$4.03
MS—$4.03
MT—$4.03
NC—$4.03
ND—$4.03
NE—$4.03
NH—$4.03
NJ—$4.03
NM—$4.03
NV—$4.03
NY—$4.03
OH—$4.03
OK—$4.03
OR—$4.03
PA—$4.03
PR$4.47—
RI—$4.03
SC—$4.03
SD—$4.03
TN—$4.03
TX—$4.03
UT—$4.03
VA—$4.03
VI$4.03—
VT—$4.03
WA—$4.03
WI—$4.03
WV—$4.03
WY—$4.03

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.75 to $4.47 depending on state and rural status.

Former-CBA payment limits: ceiling $3.75 · floor $3.19

StateNon-ruralRural
AK$3.75—
AL$3.75—
AR$3.75—
AZ$3.75—
CA$3.75—
CO$3.75—
CT$3.75—
DC$3.75—
DE$3.75—
FL$3.75—
GA$3.75—
HI$3.75—
IA$3.75—
ID$3.75—
IL$3.75—
IN$3.75—
KS$3.75—
KY$3.75—
LA$3.75—
MA$3.75—
MD$3.75—
ME$3.75—
MI$3.75—
MN$3.75—
MO$3.75—
MS$3.75—
MT$3.75—
NC$3.75—
ND$3.75—
NE$3.75—
NH$3.75—
NJ$3.75—
NM$3.75—
NV$3.75—
NY$3.75—
OH$3.75—
OK$3.75—
OR$3.75—
PA$3.75—
PR$4.47—
RI$3.75—
SC$3.75—
SD$3.75—
TN$3.75—
TX$3.75—
UT$3.75—
VA$3.75—
VI$3.75—
VT$3.75—
WA$3.75—
WI$3.75—
WV$3.75—
WY$3.75—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $24.37 to $31.06 depending on state and rural status.

StateNon-ruralRural
AK$27.85—
AL$25.71$27.85
AR$25.71$27.85
AZ$25.89$27.85
CA$24.37$27.85
CO$26.95$27.85
CT$27.11$27.85
DC$25.53$27.85
DE$25.53$27.85
FL$25.71$27.85
GA$25.71$27.85
HI$27.85—
IA$26.43$27.85
ID$26.95$27.85
IL$26.66$27.85
IN$26.66$27.85
KS$26.43$27.85
KY$25.71$27.85
LA$25.71$27.85
MA$27.11$27.85
MD$25.53$27.85
ME$27.11$27.85
MI$26.66$27.85
MN$26.43$27.85
MO$26.43$27.85
MS$25.71$27.85
MT$26.95$27.85
NC$25.71$27.85
ND$26.43$27.85
NE$26.43$27.85
NH$27.11$27.85
NJ$25.53$27.85
NM$25.89$27.85
NV$24.37$27.85
NY$25.53$27.85
OH$26.66$27.85
OK$25.89$27.85
OR$24.37$27.85
PA$25.53$27.85
PR$31.06—
RI$27.11$27.85
SC$25.71$27.85
SD$26.43$27.85
TN$25.71$27.85
TX$25.89$27.85
UT$26.95$27.85
VA$25.71$27.85
VI$27.85—
VT$27.11$27.85
WA$24.37$27.85
WI$26.66$27.85
WV$25.71$27.85
WY$26.95$27.85

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $30.05 to $33.48 depending on state and rural status.

StateNon-ruralRural
AK$30.05—
AL—$30.05
AR—$30.05
AZ—$30.05
CA—$30.05
CO—$30.05
CT—$30.05
DC—$30.05
DE—$30.05
FL—$30.05
GA—$30.05
HI$30.05—
IA—$30.05
ID—$30.05
IL—$30.05
IN—$30.05
KS—$30.05
KY—$30.05
LA—$30.05
MA—$30.05
MD—$30.05
ME—$30.05
MI—$30.05
MN—$30.05
MO—$30.05
MS—$30.05
MT—$30.05
NC—$30.05
ND—$30.05
NE—$30.05
NH—$30.05
NJ—$30.05
NM—$30.05
NV—$30.05
NY—$30.05
OH—$30.05
OK—$30.05
OR—$30.05
PA—$30.05
PR$33.48—
RI—$30.05
SC—$30.05
SD—$30.05
TN—$30.05
TX—$30.05
UT—$30.05
VA—$30.05
VI$30.05—
VT—$30.05
WA—$30.05
WI—$30.05
WV—$30.05
WY—$30.05

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $27.86 to $33.43 depending on state and rural status.

Former-CBA payment limits: ceiling $27.86 · floor $23.68

StateNon-ruralRural
AK$27.86—
AL$27.86—
AR$27.86—
AZ$27.86—
CA$27.86—
CO$27.86—
CT$27.86—
DC$27.86—
DE$27.86—
FL$27.86—
GA$27.86—
HI$27.86—
IA$27.86—
ID$27.86—
IL$27.86—
IN$27.86—
KS$27.86—
KY$27.86—
LA$27.86—
MA$27.86—
MD$27.86—
ME$27.86—
MI$27.86—
MN$27.86—
MO$27.86—
MS$27.86—
MT$27.86—
NC$27.86—
ND$27.86—
NE$27.86—
NH$27.86—
NJ$27.86—
NM$27.86—
NV$27.86—
NY$27.86—
OH$27.86—
OK$27.86—
OR$27.86—
PA$27.86—
PR$33.43—
RI$27.86—
SC$27.86—
SD$27.86—
TN$27.86—
TX$27.86—
UT$27.86—
VA$27.86—
VI$27.86—
VT$27.86—
WA$27.86—
WI$27.86—
WV$27.86—
WY$27.86—
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 K0733 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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