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Labor Payment Rates

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

2016

State K0739 L4205 L7520
CT 24.83 22.65 30.08
DC 14.87 22.13 30.08
DE 27.38 22.13 30.08
MA 24.83 22.13 30.08
MD 14.87 22.13 30.08
ME 24.83 22.13 30.08
NH 15.97 22.13 30.08
NJ 20.06 22.13 30.08
NY 27.38 22.16 30.08
PA 15.97 22.79 30.08
RI 17.72 22.81 30.08
VT 15.97 22.13 30.08

2015

State K0739 L4205 L7520
CT 24.81 22.63 30.05
DC 14.86 22.11 30.05
DE 27.35 22.11 30.05
MA 24.81 22.11 30.05
MD 14.86 22.11 30.05
ME 24.81 22.11 30.05
NH 15.95 22.11 30.05
NJ 20.04 22.11 30.05
NY 27.35 22.14 30.05
PA 15.95 22.77 30.05
RI 17.70 22.79 30.05
VT 15.95 22.11 30.05

 

2014

State K0739 L4205 L7520
CT 24.30 22.16 29.43
DC 14.55 21.66 29.43
DE 26.79 21.66 29.43
MA 24.30 21.66 29.43
MD 14.55 21.66 29.43
ME 24.30 21.66 29.43
NH 15.62 21.66 29.43
NJ 19.63 21.66 29.43
NY 26.79 21.68 29.43
PA 15.62 22.30 29.43
RI 17.34 22.32 29.43
VT 15.62 21.66 29.43 

 

Last Updated Jun 08, 2016