K1007 HCPCS code: Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors
K1007 is the HCPCS Level II code for bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors. The 2026 Medicare DMEPOS fee schedule pays $95,081.03 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 1 per day on DME suppliers.
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 | 2020-10-01 |
| Last action effective | 2024-01-01 |
2026 Medicare DMEPOS fee schedule for K1007
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $95,081.03 | $95,081.03 | $114,097.24 | $85,572.93 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $95,081.03 | — |
| AL | — | $95,081.03 | — |
| AR | — | $95,081.03 | — |
| AZ | — | $95,081.03 | — |
| CA | — | $95,081.03 | — |
| CO | — | $95,081.03 | — |
| CT | — | $95,081.03 | — |
| DC | — | $95,081.03 | — |
| DE | — | $95,081.03 | — |
| FL | — | $95,081.03 | — |
| GA | — | $95,081.03 | — |
| HI | — | $95,081.03 | — |
| IA | — | $95,081.03 | — |
| ID | — | $95,081.03 | — |
| IL | — | $95,081.03 | — |
| IN | — | $95,081.03 | — |
| KS | — | $95,081.03 | — |
| KY | — | $95,081.03 | — |
| LA | — | $95,081.03 | — |
| MA | — | $95,081.03 | — |
| MD | — | $95,081.03 | — |
| ME | — | $95,081.03 | — |
| MI | — | $95,081.03 | — |
| MN | — | $95,081.03 | — |
| MO | — | $95,081.03 | — |
| MS | — | $95,081.03 | — |
| MT | — | $95,081.03 | — |
| NC | — | $95,081.03 | — |
| ND | — | $95,081.03 | — |
| NE | — | $95,081.03 | — |
| NH | — | $95,081.03 | — |
| NJ | — | $95,081.03 | — |
| NM | — | $95,081.03 | — |
| NV | — | $95,081.03 | — |
| NY | — | $95,081.03 | — |
| OH | — | $95,081.03 | — |
| OK | — | $95,081.03 | — |
| OR | — | $95,081.03 | — |
| PA | — | $95,081.03 | — |
| PR | — | $95,081.03 | — |
| RI | — | $95,081.03 | — |
| SC | — | $95,081.03 | — |
| SD | — | $95,081.03 | — |
| TN | — | $95,081.03 | — |
| TX | — | $95,081.03 | — |
| UT | — | $95,081.03 | — |
| VA | — | $95,081.03 | — |
| VI | — | $95,081.03 | — |
| VT | — | $95,081.03 | — |
| WA | — | $95,081.03 | — |
| WI | — | $95,081.03 | — |
| WV | — | $95,081.03 | — |
| WY | — | $95,081.03 | — |
How the K1007 fee compares
| Measure | Value |
|---|---|
| Rank among 1 K10 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $95,081.03–$95,081.03 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for K1007
- 2026-01-01: Average state fee rose 2.0%: $93,216.70 to $95,081.03
- 2020-10-01: K1007 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 K1007?
K1007 is the HCPCS Level II code for bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors. Short descriptor: "Bil hkaf pc s/d micro sensor".
How much does Medicare pay for K1007?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $95,081.03. Rural fees can be higher.
Does Medicare cover K1007?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for K1007 change in 2026?
The average non-rural state fee moved from $93,216.70 in 2025 to $95,081.03 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K1007 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related K10 codes
- K1001 — Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
- K1002 — Cranial electrotherapy stimulation (ces) system, any type
- K1003 — Whirlpool tub, walk-in, portable
- K1004 — Low frequency ultrasonic diathermy treatment device for home use
- K1005 — Disposable collection and storage bag for breast milk, any size, any type, each
- K1006 — Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system
- K1009 — Speech volume modulation system, any type, including all components and accessories
- K1010 — Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
- K1011 — Activation device for intraurethral drainage device with valve, replacement only, each
- K1012 — Charger and base station for intraurethral activation device, replacement only
- K1013 — Enema tube, with or without adapter, any type, replacement only, each
- K1014 — Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control
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 K1007
- Watch K1007 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K1007
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.