HCPCS Code K1028

Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application
Code effective Jan 01, 2024

HCPCS Section
Durable Medical Equipment for Medicare Administrative Contractors (DME MACs)

K1028 is a valid 2026 HCPCS code meaning Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application or (Control unit nm stim w phone) for short. HCPCS K1028 has been effective since 01/01/2024 and applies to Other medical items or services.

HCPCS Code Details - K1028

HCPCS Level II Code
Section K - Durable Medical Equipment for Medicare Administrative Contractors (DME MACs)
HCPCS Code K1028
Description

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

Short description:
Control unit nm stim w phone

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Statute number 1861(n)
Coverage code S - Non-covered by Medicare statute
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Jan 01, 2024
Date added Added Apr 01, 2022
Termination date Dec 31, 2023

See also

  • HCPCS K1027 · Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment

  • HCPCS E0490 · Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote

  • HCPCS E0492 · Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application

  • HCPCS 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

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”

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 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.