K0045 HCPCS code: Footrest, complete assembly, replacement only, each
K0045 is the HCPCS Level II code for footrest, complete assembly, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $59.12 to $257.77 (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 18 of 28 K00 codes billed NU (family range $19.23–$2,627.69).
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1D — Wheelchairs |
| Added | 1994-01-01 |
| Last action effective | 2017-01-01 |
2026 Medicare DMEPOS fee schedule for K0045
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $59.12 | $257.77 | $69.55 | $59.12 |
| NU | new equipment, purchased | $59.11 | $181.91 | — | — |
| RR | rental (monthly) | $6.09 | $25.83 | $7.16 | $6.09 |
| RR | rental (monthly) | $6.09 | $18.22 | — | — |
| UE | used equipment, purchased | $44.35 | $136.71 | — | — |
| UE | used equipment, purchased | $44.35 | $193.83 | $52.18 | $44.35 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $257.77 | — |
| AL | NU | $69.55 | $74.15 |
| AR | NU | $69.55 | $74.15 |
| AZ | NU | $69.55 | $74.15 |
| CA | NU | $69.55 | $74.15 |
| CO | NU | $69.55 | $74.15 |
| CT | NU | $69.55 | $74.15 |
| DC | NU | $69.55 | $74.15 |
| DE | NU | $69.55 | $74.15 |
| FL | NU | $69.55 | $74.15 |
| GA | NU | $69.55 | $74.15 |
| HI | NU | $149.33 | — |
| IA | NU | $59.12 | $63.78 |
| ID | NU | $59.12 | $63.78 |
| IL | NU | $69.55 | $74.15 |
| IN | NU | $69.55 | $74.15 |
| KS | NU | $59.12 | $63.78 |
| KY | NU | $69.55 | $74.15 |
| LA | NU | $69.55 | $74.15 |
| MA | NU | $69.55 | $74.15 |
| MD | NU | $69.55 | $74.15 |
| ME | NU | $69.55 | $74.15 |
| MI | NU | $69.55 | $74.15 |
| MN | NU | $69.55 | $74.15 |
| MO | NU | $64.67 | $69.76 |
| MS | NU | $69.55 | $74.15 |
| MT | NU | $59.12 | $63.78 |
| NC | NU | $69.55 | $74.15 |
| ND | NU | $59.12 | $63.78 |
| NE | NU | $59.12 | $63.78 |
| NH | NU | $69.55 | $74.15 |
| NJ | NU | $69.55 | $74.15 |
| NM | NU | $69.55 | $74.15 |
| NV | NU | $69.55 | $74.15 |
| NY | NU | $69.55 | $74.15 |
| OH | NU | $69.55 | $74.15 |
| OK | NU | $69.55 | $74.15 |
| OR | NU | $69.55 | $74.15 |
| PA | NU | $69.55 | $74.15 |
| PR | NU | $83.46 | — |
| RI | NU | $69.55 | $74.15 |
| SC | NU | $69.55 | $74.15 |
| SD | NU | $59.12 | $63.78 |
| TN | NU | $69.55 | $74.15 |
| TX | NU | $69.55 | $74.15 |
| UT | NU | $59.12 | $63.78 |
| VA | NU | $69.55 | $74.15 |
| VI | NU | $74.15 | — |
| VT | NU | $69.55 | $74.15 |
| WA | NU | $60.67 | $65.45 |
| WI | NU | $69.55 | $74.15 |
| WV | NU | $69.55 | $74.15 |
| WY | NU | $59.12 | $63.78 |
| AK | RR | $25.83 | — |
| AL | RR | $7.16 | $7.54 |
| AR | RR | $7.16 | $7.54 |
| AZ | RR | $7.16 | $7.54 |
| CA | RR | $7.16 | $7.54 |
| CO | RR | $7.16 | $7.54 |
| CT | RR | $7.16 | $7.54 |
| DC | RR | $6.96 | $7.41 |
| DE | RR | $6.96 | $7.41 |
| FL | RR | $6.96 | $7.41 |
| GA | RR | $7.16 | $7.54 |
| HI | RR | $14.91 | — |
| IA | RR | $6.09 | $6.57 |
| ID | RR | $6.09 | $6.57 |
| IL | RR | $6.96 | $7.41 |
| IN | RR | $7.16 | $7.54 |
| KS | RR | $6.09 | $6.57 |
| KY | RR | $7.16 | $7.54 |
| LA | RR | $7.16 | $7.54 |
| MA | RR | $7.16 | $7.54 |
| MD | RR | $6.96 | $7.41 |
| ME | RR | $7.16 | $7.54 |
| MI | RR | $7.16 | $7.54 |
| MN | RR | $7.16 | $7.54 |
| MO | RR | $6.52 | $7.01 |
| MS | RR | $7.16 | $7.54 |
| MT | RR | $6.09 | $6.57 |
| NC | RR | $7.16 | $7.54 |
| ND | RR | $6.09 | $6.57 |
| NE | RR | $6.09 | $6.57 |
| NH | RR | $6.96 | $7.41 |
| NJ | RR | $6.96 | $7.41 |
| NM | RR | $7.16 | $7.54 |
| NV | RR | $7.16 | $7.54 |
| NY | RR | $6.96 | $7.41 |
| OH | RR | $6.96 | $7.41 |
| OK | RR | $7.16 | $7.54 |
| OR | RR | $7.16 | $7.54 |
| PA | RR | $6.96 | $7.41 |
| PR | RR | $8.32 | — |
| RI | RR | $6.96 | $7.41 |
| SC | RR | $7.16 | $7.54 |
| SD | RR | $6.09 | $6.57 |
| TN | RR | $7.16 | $7.54 |
| TX | RR | $6.96 | $7.41 |
| UT | RR | $6.09 | $6.57 |
| VA | RR | $6.96 | $7.41 |
| VI | RR | $7.41 | — |
| VT | RR | $7.16 | $7.54 |
| WA | RR | $7.16 | $7.54 |
| WI | RR | $7.16 | $7.54 |
| WV | RR | $6.96 | $7.41 |
| WY | RR | $6.09 | $6.57 |
| AK | UE | $193.83 | — |
| AL | UE | $52.18 | $55.61 |
| AR | UE | $52.18 | $55.61 |
| AZ | UE | $52.18 | $55.61 |
| CA | UE | $52.18 | $55.61 |
| CO | UE | $52.18 | $55.61 |
| CT | UE | $52.18 | $55.61 |
| DC | UE | $52.18 | $55.61 |
| DE | UE | $52.18 | $55.61 |
| FL | UE | $52.18 | $55.61 |
| GA | UE | $52.18 | $55.61 |
| HI | UE | $112.02 | — |
| IA | UE | $44.35 | $47.85 |
| ID | UE | $44.35 | $47.85 |
| IL | UE | $52.18 | $55.61 |
| IN | UE | $52.18 | $55.61 |
| KS | UE | $44.35 | $47.85 |
| KY | UE | $52.18 | $55.61 |
| LA | UE | $52.18 | $55.61 |
| MA | UE | $52.18 | $55.61 |
| MD | UE | $52.18 | $55.61 |
| ME | UE | $52.18 | $55.61 |
| MI | UE | $52.18 | $55.61 |
| MN | UE | $52.18 | $55.61 |
| MO | UE | $48.51 | $52.33 |
| MS | UE | $52.18 | $55.61 |
| MT | UE | $44.35 | $47.85 |
| NC | UE | $52.18 | $55.61 |
| ND | UE | $44.35 | $47.85 |
| NE | UE | $44.35 | $47.85 |
| NH | UE | $52.18 | $55.61 |
| NJ | UE | $52.18 | $55.61 |
| NM | UE | $52.18 | $55.61 |
| NV | UE | $52.18 | $55.61 |
| NY | UE | $52.18 | $55.61 |
| OH | UE | $52.18 | $55.61 |
| OK | UE | $52.18 | $55.61 |
| OR | UE | $52.18 | $55.61 |
| PA | UE | $52.18 | $55.61 |
| PR | UE | $62.62 | — |
| RI | UE | $52.18 | $55.61 |
| SC | UE | $52.18 | $55.61 |
| SD | UE | $44.35 | $47.85 |
| TN | UE | $52.18 | $55.61 |
| TX | UE | $52.18 | $55.61 |
| UT | UE | $44.35 | $47.85 |
| VA | UE | $52.18 | $55.61 |
| VI | UE | $55.61 | — |
| VT | UE | $52.18 | $55.61 |
| WA | UE | $45.46 | $49.05 |
| WI | UE | $52.18 | $55.61 |
| WV | UE | $52.18 | $55.61 |
| WY | UE | $44.35 | $47.85 |
How the K0045 fee compares
| Measure | Value |
|---|---|
| Rank among 28 K00 codes billed NU (lowest = 1) | 18 |
| Family fee range (average of state fees) | $19.23–$2,627.69 |
| Rural fee uplift | -4.5% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Anatomic Consideration |
What changed for K0045
- 2026-01-01: Average state fee (NU) rose 2.2%: $71.18 to $72.75
- 2026-01-01: Average state fee (RR) rose 2.2%: $7.21 to $7.37
- 2026-01-01: Average state fee (UE) rose 2.2%: $53.40 to $54.58
- 1994-01-01: K0045 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 K0045?
K0045 is the HCPCS Level II code for footrest, complete assembly, replacement only, each. Short descriptor: "Ftrst compl assembly repl ea".
How much does Medicare pay for K0045?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $59.12–$257.77; NU (new equipment, purchased): $59.11–$181.91; RR (rental (monthly)): $6.09–$25.83; RR (rental (monthly)): $6.09–$18.22; UE (used equipment, purchased): $44.35–$136.71; UE (used equipment, purchased): $44.35–$193.83. Rural fees can be higher.
Does Medicare cover K0045?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for K0045 change in 2026?
The average non-rural state fee for NU moved from $71.18 in 2025 to $72.75 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K0045 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)
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Next steps
- Run a reimbursement report for a device billed under K0045
- Watch K0045 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0045
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.