Question 1

What is HCPCS code K0462?

Accepted Answer

HCPCS code K0462 is "Temporary replacement eqpmnt". Temporary replacement for patient owned equipment being repaired, any type

Question 2

What category is K0462 in?

Accepted Answer

K0462 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0462?

Accepted Answer

Use K0462 when billing for temporary replacement eqpmnt. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is K0462 covered by Medicare?

Accepted Answer

Coverage for K0462 (Temporary replacement eqpmnt) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for K0462?

Accepted Answer

Documentation for K0462 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).