HCPCS Code Details - K0552

HCPCS Level II Code
Durable Medical Equipment for Medicare Administrative Contractors (DME MACs)
HCPCS Code K0552
Description

Long description:
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each

Short description:
Sup/ext non-ins inf pump syr

HCPCS Modifier1
HCPCS Pricing indicator 34 - DME supplies (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 P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 2017
Date added Added Jul 01, 2003
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 K0462 · Temporary replacement for patient owned equipment being repaired, any type

  • HCPCS A4225 · Supplies for external insulin infusion pump, syringe type cartridge, sterile, each

  • HCPCS K0553 · Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service


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”