Question 1

What is HCPCS code K1030?

Accepted Answer

HCPCS code K1030 is "Ext recharge bat replacement". External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only

Question 2

What category is K1030 in?

Accepted Answer

K1030 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K1030?

Accepted Answer

Use K1030 when billing for ext recharge bat replacement. 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 K1030 covered by Medicare?

Accepted Answer

Coverage for K1030 (Ext recharge bat replacement) 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 K1030?

Accepted Answer

Documentation for K1030 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).