Question 1

What is HCPCS code K1036?

Accepted Answer

HCPCS code K1036 is "Supplies for ultra diatherm". Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month

Question 2

What category is K1036 in?

Accepted Answer

K1036 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K1036?

Accepted Answer

Use K1036 when billing for supplies for ultra diatherm. 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 K1036 covered by Medicare?

Accepted Answer

Coverage for K1036 (Supplies for ultra diatherm) 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 K1036?

Accepted Answer

Documentation for K1036 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).