Repair or maintenance of equipment is billed with applicable HCPCS codes for replacement parts. Claims for labor for patient-owned equipment require one of these HCPCS codes.
- K0739 - Repair or nonroutine service for DME other than oxygen requiring the skill of a technician, labor component, per 15 minutes
- L4205 - Repair of orthotic device, labor component, per 15 minutes
- L7520 - Repair of prosthetic device, labor component, per 15 minutes
2024
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
31.70 |
19.01 |
34.99 |
31.74 |
19.01 |
31.74 |
20.41 |
25.65 |
34.99 |
20.41 |
22.65 |
20.41 |
L4205 |
28.96 |
28.28 |
28.28 |
28.96 |
28.28 |
28.28 |
28.96 |
28.28 |
28.31 |
29.15 |
29.17 |
28.28 |
L7520 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
38.45 |
2023
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
30.82 |
18.46 |
33.97 |
30.82 |
18.46 |
30.82 |
19.82 |
24.90 |
33.97 |
19.82 |
21.99 |
19.82 |
L4205 |
28.12 |
27.46 |
27.46 |
27.46 |
27.46 |
27.46 |
27.46 |
27.46 |
27.49 |
28.30 |
28.32 |
27.46 |
L7520 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
37.33 |
2022
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
28.25 |
16.92 |
31.14 |
28.25 |
16.92 |
28.25 |
18.17 |
22.82 |
31.14 |
18.17 |
20.16 |
18.17 |
L4205 |
25.77 |
25.17 |
25.17 |
25.17 |
25.17 |
25.17 |
25.17 |
25.17 |
25.20 |
25.94 |
25.96 |
25.17 |
L7520 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
34.22 |
2021
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
26.80 |
16.05 |
29.54 |
26.80 |
16.05 |
26.80 |
17.24 |
21.65 |
29.54 |
17.24 |
19.13 |
17.24 |
L4205 |
24.45 |
23.88 |
23.88 |
23.88 |
23.88 |
23.88 |
23.88 |
23.88 |
23.91 |
24.61 |
24.63 |
23.88 |
L7520 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
32.47 |
2020
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
26.64 |
15.95 |
29.36 |
26.64 |
15.95 |
26.64 |
17.14 |
21.52 |
29.36 |
17.14 |
19.02 |
17.14 |
L4205 |
24.3 |
23.74 |
23.74 |
23.74 |
23.74 |
23.74 |
23.74 |
23.74 |
23.77 |
24.46 |
24.48 |
23.74 |
L7520 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
32.28 |
2019
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
26.22 |
15.7 |
28.9 |
26.22 |
15.7 |
26.22 |
16.87 |
21.18 |
28.9 |
16.87 |
18.72 |
16.87 |
L4205 |
23.92 |
23.37 |
23.37 |
23.37 |
23.37 |
23.37 |
23.37 |
23.37 |
23.4 |
24.07 |
24.09 |
23.37 |
L7520 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
31.77 |
2018
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
25.48 |
15.26 |
28.09 |
25.48 |
15.26 |
25.48 |
16.39 |
20.58 |
28.09 |
16.39 |
18.19 |
16.39 |
L4205 |
23.25 |
22.71 |
22.71 |
22.71 |
22.71 |
22.71 |
22.71 |
22.71 |
22.74 |
23.39 |
23.41 |
22.71 |
L7520 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
30.87 |
2017
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
25.08 |
15.02 |
27.65 |
25.08 |
15.02 |
25.08 |
16.13 |
20.26 |
27.65 |
16.13 |
17.90 |
16.13 |
L4205 |
22.88 |
22.35 |
22.35 |
22.35 |
22.35 |
22.35 |
22.35 |
22.35 |
22.38 |
23.02 |
23.04 |
22.35 |
L7520 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
30.38 |
2016
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
24.83 |
14.87 |
27.38 |
24.83 |
14.87 |
24.83 |
15.97 |
20.06 |
27.38 |
15.97 |
17.72 |
15.97 |
L4205 |
22.65 |
22.13 |
22.13 |
22.13 |
22.13 |
22.13 |
22.13 |
22.13 |
22.16 |
22.79 |
22.81 |
22.13 |
L7520 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
30.08 |
2015
HCPCS |
CT |
DC |
DE |
MA |
MD |
ME |
NH |
NJ |
NY |
PA |
RI |
VT |
K0739 |
24.81 |
14.86 |
27.35 |
24.81 |
14.86 |
24.81 |
15.95 |
20.04 |
27.35 |
15.95 |
17.70 |
15.95 |
L4205 |
22.63 |
22.11 |
22.11 |
22.11 |
22.11 |
22.11 |
22.11 |
22.11 |
22.14 |
22.77 |
22.79 |
22.11 |
L7520 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
30.05 |
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