Question 1

What is HCPCS code K1026?

Accepted Answer

HCPCS code K1026 is "Mech allergen parti barrier". Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical

Question 2

What category is K1026 in?

Accepted Answer

K1026 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K1026?

Accepted Answer

Use K1026 when billing for mech allergen parti barrier. 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 K1026 covered by Medicare?

Accepted Answer

Coverage for K1026 (Mech allergen parti barrier) 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 K1026?

Accepted Answer

Documentation for K1026 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).