Question 1

What is HCPCS code K0609?

Accepted Answer

HCPCS code K0609 is "Repl electrode for aed". Replacement electrodes for use with automated external defibrillator, garment type only, each

Question 2

What category is K0609 in?

Accepted Answer

K0609 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0609?

Accepted Answer

Use K0609 when billing for repl electrode for aed. 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 K0609 covered by Medicare?

Accepted Answer

Coverage for K0609 (Repl electrode for aed) 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 K0609?

Accepted Answer

Documentation for K0609 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).