K0672 HCPCS code: Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each
K0672 is the HCPCS Level II code for addition to lower extremity orthosis, removable soft interface, all components, replacement only, each. The 2026 Medicare DMEPOS fee schedule pays $101.70 to $111.87 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 4 per day on DME suppliers. Medicare volume fell 18% from 2022 to 2024 (223 to 183 services). In 2024, 55 suppliers billed Medicare for K0672 (purchases), serving 132 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2008-04-01 |
| Last action effective | 2008-04-01 |
2026 Medicare DMEPOS fee schedule for K0672
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $101.70 | $111.87 | $124.41 | $93.31 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $101.70 | — |
| AL | — | $104.76 | — |
| AR | — | $104.75 | — |
| AZ | — | $101.70 | — |
| CA | — | $101.70 | — |
| CO | — | $105.37 | — |
| CT | — | $101.70 | — |
| DC | — | $101.70 | — |
| DE | — | $101.70 | — |
| FL | — | $104.76 | — |
| GA | — | $104.76 | — |
| HI | — | $101.70 | — |
| IA | — | $103.68 | — |
| ID | — | $105.66 | — |
| IL | — | $104.22 | — |
| IN | — | $104.22 | — |
| KS | — | $103.68 | — |
| KY | — | $104.76 | — |
| LA | — | $104.75 | — |
| MA | — | $101.70 | — |
| MD | — | $101.70 | — |
| ME | — | $101.70 | — |
| MI | — | $104.22 | — |
| MN | — | $104.22 | — |
| MO | — | $103.68 | — |
| MS | — | $104.76 | — |
| MT | — | $105.37 | — |
| NC | — | $104.76 | — |
| ND | — | $105.37 | — |
| NE | — | $103.68 | — |
| NH | — | $101.70 | — |
| NJ | — | $101.70 | — |
| NM | — | $104.75 | — |
| NV | — | $101.70 | — |
| NY | — | $101.70 | — |
| OH | — | $104.22 | — |
| OK | — | $104.75 | — |
| OR | — | $105.66 | — |
| PA | — | $101.70 | — |
| PR | — | $111.87 | — |
| RI | — | $101.70 | — |
| SC | — | $104.76 | — |
| SD | — | $105.37 | — |
| TN | — | $104.76 | — |
| TX | — | $104.75 | — |
| UT | — | $105.37 | — |
| VA | — | $101.70 | — |
| VI | — | $111.87 | — |
| VT | — | $101.70 | — |
| WA | — | $105.66 | — |
| WI | — | $104.22 | — |
| WV | — | $101.70 | — |
| WY | — | $105.37 | — |
How the K0672 fee compares
| Measure | Value |
|---|---|
| Rank among 2 K06 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $103.91–$1,153.12 |
| Rural fee uplift | — |
Who bills K0672 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 55 |
| Referring clinicians | 114 |
| Medicare beneficiaries | 132 |
| States with claims | 3 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 59 | 158 |
| 2023 | 50 | 135 |
| 2024 | 55 | 132 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for K0672, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 223 | 158 | $88.72 | $63.74 |
| 2023 | 191 | 135 | $95.67 | $71.58 |
| 2024 | 183 | 132 | $98.49 | $74.08 |
States with the most K0672 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Delaware | 31 | $75.29 |
| Iowa | 29 | $74.02 |
| Ohio | 21 | $74.50 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 4 | Nature of Equipment |
| outpatient hospital claims | 4 | Nature of Equipment |
Medicare policy articles for this code
- A52465: Knee Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (4,806 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| G04.1 | Tropical spastic paraplegia | 1 |
| G35.A | Relapsing-remitting multiple sclerosis | 1 |
| G35.B0 | Primary progressive multiple sclerosis, unspecified | 1 |
| G35.B1 | Active primary progressive multiple sclerosis | 1 |
| G35.B2 | Non-active primary progressive multiple sclerosis | 1 |
| G35.C0 | Secondary progressive multiple sclerosis, unspecified | 1 |
| G35.C1 | Active secondary progressive multiple sclerosis | 1 |
| G35.C2 | Non-active secondary progressive multiple sclerosis | 1 |
| G35.D | Multiple sclerosis, unspecified | 1 |
| G57.01 | Lesion of sciatic nerve, right lower limb | 1 |
Showing 10 of 4,806. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for K0672
- 2026-01-01: Average state fee rose 2.0%: $101.87 to $103.91
- 2008-04-01: K0672 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 K0672?
K0672 is the HCPCS Level II code for addition to lower extremity orthosis, removable soft interface, all components, replacement only, each. Short descriptor: "Removable soft interface le".
How much does Medicare pay for K0672?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $101.70–$111.87. Rural fees can be higher.
Does Medicare cover K0672?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for K0672?
Medicare policy articles that cite K0672 list 4,806 covered ICD-10-CM diagnosis codes across 1 article. The most cited include G04.1 (Tropical spastic paraplegia), G35.A (Relapsing-remitting multiple sclerosis), G35.B0 (Primary progressive multiple sclerosis, unspecified). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for K0672 change in 2026?
The average non-rural state fee moved from $101.87 in 2025 to $103.91 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K0672 can be billed per day?
4 on DME suppliers; 4 on outpatient hospital claims (NCCI medically unlikely edits).
Related K06 codes
- K0601 — Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ($1.57–$1.72)
- K0602 — Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ($8.88–$9.89)
- K0603 — Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ($0.80–$0.91)
- K0604 — Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ($8.56–$9.50)
- K0605 — Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ($20.45–$22.73)
- K0606 — Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ($3,588.90–$3,588.90)
- K0607 — Replacement battery for automated external defibrillator, garment type only, each ($27.69–$36.87)
- K0608 — Replacement garment for use with automated external defibrillator, each ($17.31–$230.11)
- K0609 — Replacement electrodes for use with automated external defibrillator, garment type only, each ($1,148.78–$1,530.56)
- K0669 — Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
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 K0672
- Watch K0672 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0672
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.