Temporary K codes are developed by the DME MACs to report supplies and other products for which a national code has not yet been developed. Payment jurisdiction lies with the DME MACs unless otherwise specified.

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• K1013

  Enema tube, with or without adapter, any type, replacement only, each

• K1014

  Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control

• K1015

  Foot, adductus positioning device, adjustable

• K1016

  Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve

• K1017

  Monthly supplies for use of device coded at k1016

• K1018

  External upper limb tremor stimulator of the peripheral nerves of the wrist

• K1019

  Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist

• K1020

  Non-invasive vagus nerve stimulator

• K1021

  Exsufflation belt, includes all supplies and accessories

• K1022

  Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type

• K1023

  Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm

• K1024

  Non-pneumatic compression controller with sequential calibrated gradient pressure

• K1025

  Non-pneumatic sequential compression garment, full arm

• K1026

  Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical

• K1027

  Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment

• K1028

  Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application

• K1029

  Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply

• K1030

  External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only

• K1031

  Non-pneumatic compression controller without calibrated gradient pressure

• K1032

  Non-pneumatic sequential compression garment, full leg

• K1033

  Non-pneumatic sequential compression garment, half leg

• K1034

  Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

• K1035

  Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared

• K1036

  Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month

• K1037

  Docking station for use with oral device/appliance used to reduce upper airway collapsibility

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 7/24/2026

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