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HCPCS K0073 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Caster pin lock, each
Key FactDetail
Service Type

Durable medical equipment (DME) Medicare administrative contractors (MACs)

Wheelchairs, Components, and Accessories

Complexity LevelLow

National average reimbursement for HCPCS K0073 by major payers:

bcbs

$30.92

uhc

$24.67

aetna

$25.95

cigna

$50.75

Preview provider-level rates for...
For billing codeHCPCS K0073
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS K0073

United
K0073$21.391689744450 - ARTHUR M. BLANK HOSPITAL, INC., ARTHUR M. BLANK HOSPITAL582147112 - (GA) CHILDRENS HEALTHCARE OF ATLANTA INCGAChildren's Hospital (282NC2000X)
United
K0073$20.191881144889 - NGMC BARROW LLC, NGMC BARROW581177261 - (GA) GAINESVILLE RADIOLOGY GROUPGAGeneral Acute Care Hospital (282N00000X)
United
K0073$16.961760452098 - HOSPITAL AUTHORITY OF JENKINS COUNTY273100894GACritical Access Hospital (282NC0060X)
United
K0073$16.961073567038 - PALMYRA PARK HOSPITAL, INC., PALMYRA MEDICAL CENTERS721553462GAGeneral Acute Care Hospital (282N00000X)
United
K0073$22.621760452098 - HOSPITAL AUTHORITY OF JENKINS COUNTY273100894GACritical Access Hospital (282NC0060X)
United
K0073$2.321790888089 - HOSPITAL AUTHORITY OF CANDLER COUNTY, CANDLER COUNTY HOSPITAL586004640GACritical Access Hospital (282NC0060X)
United
K0073$23.251326079260 - HOSPITAL AUTHORITY OF LIBERTY COUNTY, LIBERTY REGIONAL MEDICAL CENTER586025016GACritical Access Hospital (282NC0060X)
United
K0073$23.251811962756 - EFFINGHAM HOSPITAL, INC., EFFINGHAM HEALTH SYSTEM474393589 - (GA) EFFINGHAM HOSPITAL INCGACritical Access Hospital (282NC0060X)
United
K0073$68.181225281603 - EMORY CRAWFORD LONG HOSPITAL582030692 - EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
K0073$41.161255891958 - PIEDMONT NEWTON EKG BILLING LLC814475074 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
K0073$23.251811962756 - EFFINGHAM HOSPITAL, INC., EFFINGHAM HEALTH SYSTEM474393589 - (GA) EFFINGHAM HOSPITAL INCGACritical Access Hospital (282NC0060X)
United
K0073$23.251790888089 - HOSPITAL AUTHORITY OF CANDLER COUNTY, CANDLER COUNTY HOSPITAL586004640GACritical Access Hospital (282NC0060X)
United
K0073$6.821992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS581537752 - EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
K0073$16.041710992433 - HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE, JEFFERSON HOSPITAL581309961 - (GA) HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLEGAGeneral Acute Care Hospital (282N00000X)
United
K0073$41.161306136551 - UJUKA ILOABUCHI881014763GAWomen's Hospital (282NW0100X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS K0073 vs. Other Wheelchairs, Components, and Accessories Codes

The HCPCS K0073 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Wheelchairs, Components, and Accessories. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS K0073 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
K0072-HCPCSLowFront caster assembly, complete, with semi-pneumatic tire, replacement only, each
K0073-HCPCSLowCaster pin lock, each
K0077-HCPCSLowFront caster assembly, complete, with solid tire, replacement only, each

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the K0073 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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