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See a sample rate comparisonHCPCS K0672 Fee Schedule
Last Verified: September 2026
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.
Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Miscellaneous DME and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for K0672 |
National average reimbursement for HCPCS K0672 by major payers:
$85.98
$55.82
$63.36
$128.18
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HCPCS K0672
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$191.03Published rateAnna Jaques Hospital
$121.97Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$69.48Published rateAlicia Encinas
Miguel A Arenas Md PC
$45.63Published rateKristina Jimenez
Miguel A Arenas Md PC
$30.42Published rate
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See a sample payer proposalHCPCS K0672 vs. Other Miscellaneous DME and Accessories Codes
The HCPCS K0672 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Miscellaneous DME 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 K0672 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.
| Code | Complexity | Description |
|---|---|---|
| K0669-HCPCS | Moderate | Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC |
| K0672-HCPCS | Low | Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each |
| K0730-HCPCS | High | Controlled dose inhalation drug delivery system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0672. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0672 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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