K0038 HCPCS code: Leg strap, each

K0038 is the HCPCS Level II code for leg strap, each. The 2026 Medicare DMEPOS fee schedule pays $29.30 to $35.23 (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. Medicare volume rose 187% from 2022 to 2024 (3,249 to 9,336 services). In 2024, 537 suppliers billed Medicare for K0038 (purchases), serving 5,790 beneficiaries; Florida, Texas, Georgia accounted for 65% of services. Its average fee ranks 5 of 28 K00 codes billed NU (family range $19.23–$2,627.69); rural fees run 3% higher.

Code details

2026 Medicare DMEPOS fee schedule for K0038

How the K0038 fee compares

Who bills K0038 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for K0038, 2022–2024

States with the most K0038 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52504: Wheelchair Options/Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

What changed for K0038

• 2026-01-01: Average state fee (NU) rose 2.2%: $29.10 to $29.75
• 2026-01-01: Average state fee (RR) rose 2.3%: $2.90 to $2.97
• 2026-01-01: Average state fee (UE) rose 2.2%: $21.81 to $22.30
• 1994-01-01: K0038 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code K0038?

K0038 is the HCPCS Level II code for leg strap, each. Short descriptor: "Leg strap each".

How much does Medicare pay for K0038?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $29.30–$35.23; NU (new equipment, purchased): $29.29–$35.78; RR (rental (monthly)): $2.91–$3.51; RR (rental (monthly)): $2.92–$3.57; UE (used equipment, purchased): $21.96–$26.41; UE (used equipment, purchased): $21.95–$26.84. Rural fees can be higher.

Does Medicare cover K0038?

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

Did the Medicare fee for K0038 change in 2026?

The average non-rural state fee for NU moved from $29.10 in 2025 to $29.75 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0038 can be billed per day?

2 on DME suppliers (NCCI medically unlikely edits).

Related K00 codes

• K0001 — Standard wheelchair ($25.23–$53.63)
• K0002 — Standard hemi (low seat) wheelchair ($38.93–$101.05)
• K0003 — Lightweight wheelchair ($36.91–$115.29)
• K0004 — High strength, lightweight wheelchair ($48.55–$163.93)
• K0005 — Ultralightweight wheelchair ($259.07–$2,797.90)
• K0006 — Heavy duty wheelchair ($68.77–$169.03)
• K0007 — Extra heavy duty wheelchair ($96.40–$211.59)
• K0008 — Custom manual wheelchair/base
• K0009 — Other manual wheelchair/base ($101.86–$122.26)
• K0010 — Standard - weight frame motorized/power wheelchair ($516.03–$1,144.42)
• K0011 — Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking ($641.58–$810.57)
• K0012 — Lightweight portable motorized/power wheelchair ($393.59–$543.05)

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

• Run a reimbursement report for a device billed under K0038
• Watch K0038 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for K0038

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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