K0070 HCPCS code: Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each

K0070 is the HCPCS Level II code for rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $17.94 to $28.41 (RR, rental (monthly)) 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 35% from 2022 to 2024 (3,996 to 5,399 services). In 2024, 316 suppliers billed Medicare for K0070 (purchases), serving 1,829 beneficiaries; Ohio, California, New York accounted for 48% of services. Its average fee ranks 29 of 40 K00 codes billed RR (family range $1.93–$760.44); rural fees run 3% higher.

Code details

2026 Medicare DMEPOS fee schedule for K0070

How the K0070 fee compares

Who bills K0070 (2024)

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

Medicare utilization for K0070, 2022–2024

States with the most K0070 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 K0070

• 2026-01-01: Average state fee (RR) rose 2.3%: $22.43 to $22.94
• 1994-01-01: K0070 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 K0070?

K0070 is the HCPCS Level II code for rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each. Short descriptor: "Rr whl compl pne tire rep ea".

How much does Medicare pay for K0070?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $17.94–$28.41; RR (rental (monthly)): $22.19–$31.33. Rural fees can be higher.

Does Medicare cover K0070?

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

Did the Medicare fee for K0070 change in 2026?

The average non-rural state fee for RR moved from $22.43 in 2025 to $22.94 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of K0070 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 K0070
• Watch K0070 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for K0070

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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