Question 1

What is HCPCS code K1037?

Accepted Answer

HCPCS code K1037 is "Docking station for oral dev". Docking station for use with oral device/appliance used to reduce upper airway collapsibility

Question 2

What category is K1037 in?

Accepted Answer

K1037 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K1037?

Accepted Answer

Use K1037 when billing for docking station for oral dev. 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 K1037 covered by Medicare?

Accepted Answer

Coverage for K1037 (Docking station for oral dev) 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 K1037?

Accepted Answer

Documentation for K1037 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).