HCPCS Code Details - K0553

HCPCS Level II Code
Durable Medical Equipment for Medicare Administrative Contractors (DME MACs)
HCPCS Code K0553
Description

Long description:
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service

Short description:
Ther cgm supply allowance

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 9 - Other medical items or services
Effective date Effective Jul 01, 2017
Date added Added Jul 01, 2017
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 K0552 · Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each

  • HCPCS K0554 · Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system


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”