Question 1

What is HCPCS code K1035?

Accepted Answer

HCPCS code K1035 is "Mol diag reader self-admn". Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared

Question 2

What category is K1035 in?

Accepted Answer

K1035 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K1035?

Accepted Answer

Use K1035 when billing for mol diag reader self-admn. 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 K1035 covered by Medicare?

Accepted Answer

Coverage for K1035 (Mol diag reader self-admn) 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 K1035?

Accepted Answer

Documentation for K1035 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).