K0554 HCPCS - RECEIVER (MONITOR), DEDICATED, FOR USE WITH THERAPEUTIC GLUCOSE CONTINUOUS MONITOR SYSTEM

Code Information

HCPCS Code: K0554

Sequence Number: 0010

Short Description: Ther cgm receiver/monitor

Long Description: Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system

Code Added Date: 7/1/2017

Action Code: A - Add procedure or modifier code

Action Effective Date: 7/1/2017

Classification: Temporary Codes for Durable Medical Equipment Regional Carriers

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1E - Other DME
Type Of Service Code:
  • A - Used durable medical equipment (DME)
  • P - Lump sum purchase of DME, prosthetics, orthotics
  • R - Rental of DME

Billing Information

Pricing Indicator Code:
  • 32 - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: D - Special coverage instructions apply

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code K0554
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system
      HCPCS Short Description Ther cgm receiver/monitor
      HCPCS Pricing Indicator Code 1 32 - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS Processing Note Number 0212
      HCPCS Berenson-Eggers Type Of Service Code D1E - Other DME
      HCPCS Type Of Service Code 1 A - Used durable medical equipment (DME)
      HCPCS Type Of Service Code 2 P - Lump sum purchase of DME, prosthetics, orthotics
      HCPCS Type Of Service Code 3 R - Rental of DME
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 7/1/2017
      HCPCS Action Effective Date 7/1/2017
      HCPCS Action Code A - Add procedure or modifier code

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      This page was last updated on: 1/1/2018