Question 1

What is HCPCS code K1034?

Accepted Answer

HCPCS code K1034 is "Covid test self-admn/collect". Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

Question 2

What category is K1034 in?

Accepted Answer

K1034 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K1034?

Accepted Answer

Use K1034 when billing for covid test self-admn/collect. 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 K1034 covered by Medicare?

Accepted Answer

Coverage for K1034 (Covid test self-admn/collect) 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 K1034?

Accepted Answer

Documentation for K1034 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).