HCPCS Code Details - K0455

2017 HCPCS Level II Code
Durable Medical Equipment for Medicare Administrative Contractors (DME MACs)
HCPCS Code K0455
Description

Long description:
Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)

Short description:
Pump uninterrupted infusion

HCPCS Modifier1
HCPCS Pricing indicator 31 - Frequently serviced DME (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code D1E - Other DME
HCPCS Action code N - No maintenance for this code
Type of service R - Rental of DME
Effective date Effective Jul 01, 2003
Date added Jan 01, 1998
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS K0195 · Elevating leg rests, pair (for use with capped rental wheelchair base)

  • HCPCS K0462 · Temporary replacement for patient owned equipment being repaired, any type


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”