K0195 HCPCS code: Elevating leg rests, pair (for use with capped rental wheelchair base)
K0195 is the HCPCS Level II code for elevating leg rests, pair (for use with capped rental wheelchair base). The 2026 Medicare DMEPOS fee schedule pays $12.39 to $25.12 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume fell 4% from 2022 to 2024 (658,804 to 632,569 services). In 2024, 3,539 suppliers billed Medicare for K0195 (rentals), serving 122,568 beneficiaries; New York, Florida, New Jersey accounted for 31% of services.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1D — Wheelchairs |
| Added | 1993-01-01 |
| Last action effective | 1993-01-01 |
2026 Medicare DMEPOS fee schedule for K0195
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $12.39 | $25.12 | — | — |
| RR | rental (monthly) | $22.01 | $31.07 | $25.89 | $22.01 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $30.39 | — |
| AL | RR | $25.89 | $22.15 |
| AR | RR | $25.89 | $22.15 |
| AZ | RR | $24.56 | $21.39 |
| CA | RR | $25.25 | $21.78 |
| CO | RR | $25.89 | $22.15 |
| CT | RR | $22.01 | $19.92 |
| DC | RR | $25.89 | $22.15 |
| DE | RR | $25.89 | $22.15 |
| FL | RR | $24.25 | $21.20 |
| GA | RR | $25.70 | $22.04 |
| HI | RR | $26.92 | — |
| IA | RR | $25.89 | $22.15 |
| ID | RR | $23.36 | $20.70 |
| IL | RR | $25.89 | $22.15 |
| IN | RR | $25.89 | $22.15 |
| KS | RR | $25.89 | $22.15 |
| KY | RR | $25.89 | $22.15 |
| LA | RR | $25.89 | $22.15 |
| MA | RR | $22.01 | $19.92 |
| MD | RR | $24.98 | $21.63 |
| ME | RR | $22.01 | $19.92 |
| MI | RR | $25.33 | $21.83 |
| MN | RR | $25.89 | $22.15 |
| MO | RR | $25.89 | $22.15 |
| MS | RR | $23.73 | $20.90 |
| MT | RR | $24.92 | $21.60 |
| NC | RR | $25.89 | $22.15 |
| ND | RR | $25.89 | $22.15 |
| NE | RR | $25.89 | $22.15 |
| NH | RR | $22.01 | $19.92 |
| NJ | RR | $22.01 | $19.92 |
| NM | RR | $23.39 | $20.71 |
| NV | RR | $25.15 | $21.72 |
| NY | RR | $22.01 | $19.92 |
| OH | RR | $25.89 | $22.15 |
| OK | RR | $25.89 | $22.15 |
| OR | RR | $25.89 | $22.15 |
| PA | RR | $25.89 | $22.15 |
| PR | RR | $31.07 | — |
| RI | RR | $22.01 | $19.92 |
| SC | RR | $25.48 | $21.91 |
| SD | RR | $25.89 | $22.15 |
| TN | RR | $24.82 | $21.55 |
| TX | RR | $25.89 | $22.15 |
| UT | RR | $25.50 | $21.92 |
| VA | RR | $22.01 | $19.92 |
| VI | RR | $25.89 | — |
| VT | RR | $24.79 | $21.53 |
| WA | RR | $25.89 | $22.15 |
| WI | RR | $25.89 | $22.15 |
| WV | RR | $25.54 | $21.95 |
| WY | RR | $25.89 | $22.15 |
How the K0195 fee compares
| Measure | Value |
|---|---|
| Rank among 2 K01 codes billed RR (lowest = 1) | 2 |
| Family fee range (average of state fees) | $13.23–$19.71 |
| Rural fee uplift | 4.9% |
Who bills K0195 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 3,539 |
| Suppliers billing purchases | 6 |
| Referring clinicians | 40,531 |
| Medicare beneficiaries | 122,568 |
| States with claims | 55 |
| Share of services in top 3 states (New York, Florida, New Jersey) | 31% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 3,759 | 127,513 |
| 2023 | 3,650 | 124,426 |
| 2024 | 3,539 | 122,568 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for K0195, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 658,804 | 127,513 | $10.31 | $7.56 |
| 2023 | 650,776 | 124,426 | $10.98 | $8.08 |
| 2024 | 632,569 | 122,568 | $10.91 | $8.04 |
States with the most K0195 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 91,569 | $6.53 |
| Florida | 56,575 | $8.39 |
| New Jersey | 47,664 | $6.55 |
| California | 44,045 | $8.53 |
| Illinois | 42,109 | $8.41 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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 K0195
- 2026-01-01: Average state fee (RR) rose 2.2%: $19.28 to $19.71
- 1993-01-01: K0195 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 K0195?
K0195 is the HCPCS Level II code for elevating leg rests, pair (for use with capped rental wheelchair base). Short descriptor: "Elevating whlchair leg rests".
How much does Medicare pay for K0195?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $12.39–$25.12; RR (rental (monthly)): $22.01–$31.07. Rural fees can be higher.
Does Medicare cover K0195?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for K0195 change in 2026?
The average non-rural state fee for RR moved from $19.28 in 2025 to $19.71 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K0195 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related K01 codes
- K0105 — Iv hanger, each ($11.50–$170.03)
- K0108 — Wheelchair component or accessory, not otherwise specified
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 K0195
- Watch K0195 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0195
Sources: CMS HCPCS Level II release October 2026; 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.