Q: What category is K0745 in?

K0745 belongs to HCPCS Category K (Temporary DME Codes).

Q: When should I use HCPCS code K0745?

Use K0745 when billing for absorp drg >16<=48 suc pump. 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.

Q: Is K0745 covered by Medicare?

Coverage for K0745 (Absorp drg >16<=48 suc pump) 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.

Q: What documentation is required for K0745?

Documentation for K0745 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).

Question 1

What is HCPCS code K0745?

Accepted Answer

HCPCS code K0745 is "Absorp drg >16<=48 suc pump". Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches

Question 2

What category is K0745 in?

Accepted Answer

K0745 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0745?

Accepted Answer

Use K0745 when billing for absorp drg >16<=48 suc pump. 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 K0745 covered by Medicare?

Accepted Answer

Coverage for K0745 (Absorp drg >16<=48 suc pump) 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 K0745?

Accepted Answer

Documentation for K0745 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).