K0018 HCPCS code: Detachable, adjustable height armrest, upper portion, replacement only, each

K0018 is the HCPCS Level II code for detachable, adjustable height armrest, upper portion, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $33.35 to $40.76 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers. Its average fee ranks 7 of 28 K00 codes billed NU (family range $19.23–$2,627.69); rural fees run 3% higher.

Code details

FieldValue
SectionK codes — Temporary codes for DME MACs
Coverage codeC — Carrier judgment
Pricing indicator32 — DMEPOS: inexpensive or routinely purchased item
BETOS categoryD1D — Wheelchairs
Added1994-01-01
Last action effective2016-01-01

2026 Medicare DMEPOS fee schedule for K0018

ModifierMeaningLowest state feeHighest state feeCeilingFloor
NUnew equipment, purchased$33.35$40.76——
NUnew equipment, purchased$34.52$42.08$35.07$29.81
RRrental (monthly)$3.45$4.24$3.51$2.98
RRrental (monthly)$3.34$4.09——
UEused equipment, purchased$25.02$30.58——
UEused equipment, purchased$25.88$31.57$26.32$22.37
StateModifierFeeRural fee
AKNU$36.43—
ALNU$35.07$36.75
ARNU$35.07$36.75
AZNU$34.52$36.43
CANU$34.52$36.43
CONU$35.07$36.75
CTNU$35.07$36.75
DCNU$35.06$36.74
DENU$35.07$36.75
FLNU$35.07$36.75
GANU$35.07$36.75
HINU$36.43—
IANU$34.52$36.43
IDNU$34.52$36.43
ILNU$35.06$36.74
INNU$35.07$36.75
KSNU$34.52$36.43
KYNU$35.07$36.75
LANU$35.07$36.75
MANU$35.07$36.75
MDNU$35.06$36.74
MENU$35.07$36.75
MINU$35.07$36.75
MNNU$35.07$36.75
MONU$35.07$36.75
MSNU$35.07$36.75
MTNU$34.52$36.43
NCNU$35.07$36.75
NDNU$34.52$36.43
NENU$34.52$36.43
NHNU$35.07$36.75
NJNU$35.07$36.75
NMNU$35.07$36.75
NVNU$34.52$36.43
NYNU$35.07$36.75
OHNU$35.06$36.74
OKNU$35.07$36.75
ORNU$34.52$36.43
PANU$35.07$36.75
PRNU$42.08—
RINU$35.07$36.75
SCNU$35.07$36.75
SDNU$34.52$36.43
TNNU$35.07$36.75
TXNU$35.07$36.75
UTNU$35.07$36.75
VANU$35.06$36.74
VINU$36.75—
VTNU$35.07$36.75
WANU$35.07$36.75
WINU$35.07$36.75
WVNU$35.06$36.74
WYNU$34.52$36.43
AKRR$3.64—
ALRR$3.51$3.67
ARRR$3.51$3.67
AZRR$3.45$3.64
CARR$3.45$3.64
CORR$3.51$3.67
CTRR$3.51$3.67
DCRR$3.51$3.67
DERR$3.51$3.67
FLRR$3.51$3.67
GARR$3.51$3.67
HIRR$3.64—
IARR$3.45$3.64
IDRR$3.45$3.64
ILRR$3.51$3.67
INRR$3.51$3.67
KSRR$3.45$3.64
KYRR$3.51$3.67
LARR$3.51$3.67
MARR$3.51$3.67
MDRR$3.51$3.67
MERR$3.51$3.67
MIRR$3.51$3.67
MNRR$3.51$3.67
MORR$3.51$3.67
MSRR$3.51$3.67
MTRR$3.45$3.64
NCRR$3.51$3.67
NDRR$3.45$3.64
NERR$3.45$3.64
NHRR$3.51$3.67
NJRR$3.51$3.67
NMRR$3.51$3.67
NVRR$3.45$3.64
NYRR$3.51$3.67
OHRR$3.51$3.67
OKRR$3.51$3.67
ORRR$3.45$3.64
PARR$3.51$3.67
PRRR$4.24—
RIRR$3.51$3.67
SCRR$3.51$3.67
SDRR$3.45$3.64
TNRR$3.51$3.67
TXRR$3.51$3.67
UTRR$3.51$3.67
VARR$3.51$3.67
VIRR$3.67—
VTRR$3.51$3.67
WARR$3.51$3.67
WIRR$3.51$3.67
WVRR$3.51$3.67
WYRR$3.45$3.64
AKUE$27.33—
ALUE$26.32$27.57
ARUE$26.32$27.57
AZUE$25.88$27.33
CAUE$25.88$27.33
COUE$26.32$27.57
CTUE$26.32$27.57
DCUE$26.32$27.57
DEUE$26.32$27.57
FLUE$26.32$27.57
GAUE$26.32$27.57
HIUE$27.33—
IAUE$25.88$27.33
IDUE$25.88$27.33
ILUE$26.32$27.57
INUE$26.32$27.57
KSUE$25.88$27.33
KYUE$26.32$27.57
LAUE$26.32$27.57
MAUE$26.32$27.57
MDUE$26.32$27.57
MEUE$26.32$27.57
MIUE$26.32$27.57
MNUE$26.32$27.57
MOUE$26.32$27.57
MSUE$26.32$27.57
MTUE$25.88$27.33
NCUE$26.32$27.57
NDUE$25.88$27.33
NEUE$25.88$27.33
NHUE$26.32$27.57
NJUE$26.32$27.57
NMUE$26.32$27.57
NVUE$25.88$27.33
NYUE$26.32$27.57
OHUE$26.32$27.57
OKUE$26.32$27.57
ORUE$25.88$27.33
PAUE$26.32$27.57
PRUE$31.57—
RIUE$26.32$27.57
SCUE$26.32$27.57
SDUE$25.88$27.33
TNUE$26.32$27.57
TXUE$26.32$27.57
UTUE$26.32$27.57
VAUE$26.32$27.57
VIUE$27.57—
VTUE$26.32$27.57
WAUE$26.32$27.57
WIUE$26.32$27.57
WVUE$26.32$27.57
WYUE$25.88$27.33

How the K0018 fee compares

MeasureValue
Rank among 28 K00 codes billed NU (lowest = 1)7
Family fee range (average of state fees)$19.23–$2,627.69
Rural fee uplift3.0%

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers2Anatomic Consideration

What changed for K0018

Frequently asked questions

What is HCPCS code K0018?

K0018 is the HCPCS Level II code for detachable, adjustable height armrest, upper portion, replacement only, each. Short descriptor: "Detach adjust armrst upper".

How much does Medicare pay for K0018?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $33.35–$40.76; NU (new equipment, purchased): $34.52–$42.08; RR (rental (monthly)): $3.45–$4.24; RR (rental (monthly)): $3.34–$4.09; UE (used equipment, purchased): $25.02–$30.58; UE (used equipment, purchased): $25.88–$31.57. Rural fees can be higher.

Does Medicare cover K0018?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Did the Medicare fee for K0018 change in 2026?

The average non-rural state fee for NU moved from $33.61 in 2025 to $34.38 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0018 can be billed per day?

2 on DME suppliers (NCCI medically unlikely edits).

Related K00 codes

Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.

Next steps

Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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