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
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
35.79 |
23.50 |
29.17 |
23.50 |
19.01 |
19.01 |
19.01 |
19.01 |
19.01 |
L4205 |
40.80 |
28.28 |
46.48 |
40.80 |
28.28 |
28.28 |
28.28 |
28.28 |
28.27 |
L7520 |
48.00 |
47.32 |
54.18 |
48.00 |
46.03 |
38.45 |
48.00 |
38.45 |
48.00 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
23.69 |
19.01 |
30.27 |
19.01 |
21.25 |
19.06 |
30.27 |
26.51 |
L4205 |
40.71 |
28.28 |
28.28 |
28.28 |
28.28 |
28.28 |
41.50 |
37.76 |
L7520 |
48.00 |
53.61 |
52.40 |
55.29 |
51.41 |
59.87 |
49.31 |
53.61 |
2023
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
34.75 |
22.82 |
28.32 |
22.82 |
18.46 |
18.46 |
18.46 |
18.46 |
18.46 |
L4205 |
39.61 |
27.46 |
45.13 |
39.61 |
27.46 |
27.46 |
27.46 |
27.46 |
27.46 |
L7520 |
46.60 |
45.94 |
52.60 |
46.60 |
44.69 |
37.33 |
46.60 |
37.33 |
46.60 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
23.00 |
18.46 |
29.39 |
18.46 |
20.63 |
18.50 |
29.39 |
25.74 |
L4205 |
39.52 |
27.46 |
27.46 |
27.46 |
27.46 |
27.46 |
40.29 |
36.66 |
L7520 |
46.60 |
52.05 |
50.87 |
53.68 |
49.91 |
58.13 |
47.87 |
52.05 |
2022
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
31.85 |
20.92 |
25.96 |
20.92 |
16.92 |
16.92 |
16.92 |
16.92 |
16.92 |
L4205 |
36.31 |
25.17 |
41.37 |
36.31 |
25.17 |
25.17 |
25.17 |
25.17 |
25.17 |
L7520 |
42.71 |
42.11 |
48.21 |
42.71 |
40.96 |
34.22 |
42.71 |
34.22 |
42.71 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
21.08 |
16.92 |
26.94 |
16.92 |
18.91 |
16.96 |
26.94 |
23.59 |
L4205 |
36.22 |
25.17 |
25.17 |
25.17 |
25.17 |
25.17 |
36.93 |
33.60 |
L7520 |
42.71 |
47.71 |
46.63 |
49.20 |
45.75 |
53.28 |
43.88 |
47.71 |
2021
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
30.22 |
19.85 |
24.63 |
19.85 |
16.05 |
16.05 |
16.05 |
16.05 |
16.05 |
L4205 |
34.45 |
23.88 |
39.25 |
34.45 |
23.88 |
23.88 |
23.88 |
23.88 |
23.88 |
L7520 |
40.52 |
39.95 |
45.74 |
40.52 |
38.86 |
32.47 |
40.52 |
32.47 |
40.52 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
20.00 |
16.05 |
25.56 |
16.05 |
17.94 |
16.09 |
25.56 |
22.38 |
L4205 |
34.36 |
23.88 |
23.88 |
23.88 |
23.88 |
23.88 |
35.04 |
31.88 |
L7520 |
40.52 |
45.27 |
44.24 |
46.68 |
43.41 |
50.55 |
41.63 |
45.27 |
2020
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
30.04 |
19.73 |
24.48 |
19.73 |
15.95 |
15.95 |
15.95 |
15.95 |
15.95 |
L4205 |
34.24 |
23.74 |
24.48 |
34.24 |
23.75 |
23.75 |
23.75 |
23.75 |
23.75 |
L7520 |
40.28 |
39.74 |
45.47 |
40.28 |
38.63 |
32.28 |
40.28 |
32.28 |
40.28 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
19.88 |
15.95 |
25.41 |
15.95 |
17.73 |
15.99 |
25.41 |
22.25 |
L4205 |
34.16 |
23.74 |
23.74 |
23.74 |
23.74 |
23.74 |
34.83 |
31.69 |
L7520 |
40.28 |
45.00 |
43.98 |
46.40 |
43.15 |
50.25 |
41.38 |
45.00 |
2019
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
29.57 |
19.42 |
24.09 |
19.42 |
15.70 |
15.70 |
15.70 |
15.70 |
15.70 |
L4205 |
33.70 |
23.37 |
38.41 |
33.70 |
23.37 |
23.37 |
23.37 |
23.37 |
23.37 |
L7520 |
39.65 |
39.08 |
44.75 |
39.65 |
38.02 |
31.77 |
39.65 |
31.77 |
39.65 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
19.57 |
15.70 |
25.01 |
15.70 |
17.55 |
15.74 |
25.01 |
21.90 |
L4205 |
33.62 |
23.37 |
23.37 |
23.37 |
23.37 |
23.37 |
34.28 |
31.19 |
|
L7520 |
31.77 |
44.29 |
43.29 |
45.67 |
42.47 |
49.46 |
40.73 |
44.29 |
2018
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
28.74 |
18.87 |
23.41 |
18.87 |
15.26 |
15.26 |
15.26 |
15.26 |
15.26 |
L4205 |
32.75 |
22.71 |
37.33 |
32.75 |
22.71 |
22.71 |
22.71 |
22.71 |
22.71 |
L7520 |
38.53 |
37.98 |
43.49 |
38.53 |
36.95 |
30.87 |
38.53 |
30.87 |
38.53 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
19.02 |
15.26 |
24.31 |
15.26 |
17.06 |
15.30 |
24.31 |
21.28 |
L4205 |
32.67 |
22.71 |
22.71 |
22.71 |
22.71 |
22.71 |
33.31 |
30.31 |
L7520 |
38.53 |
43.04 |
42.07 |
44.38 |
41.27 |
48.07 |
38.58 |
43.04 |
2017
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
28.29 |
18.57 |
23.04 |
18.57 |
15.02 |
15.02 |
15.02 |
15.02 |
15.02 |
L4205 |
32.23 |
22.35 |
36.74 |
32.23 |
22.35 |
22.35 |
22.35 |
22.35 |
22.35 |
L7520 |
37.92 |
37.38 |
42.81 |
37.92 |
36.37 |
30.38 |
37.92 |
30.38 |
37.92 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
18.72 |
15.02 |
23.93 |
15.02 |
16.79 |
15.06 |
23.93 |
20.94 |
L4205 |
32.16 |
22.35 |
22.35 |
22.35 |
22.35 |
22.35 |
32.79 |
29.83 |
L7520 |
37.92 |
42.36 |
41.41 |
43.68 |
40.62 |
47.31 |
38.96 |
42.36 |
2016
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
28.01 |
18.39 |
22.81 |
18.39 |
14.87 |
14.87 |
14.87 |
14.87 |
14.87 |
L4205 |
31.91 |
22.13 |
36.38 |
31.91 |
22.13 |
22.13 |
22.13 |
22.13 |
22.13 |
L7520 |
37.54 |
37.01 |
42.39 |
37.54 |
36.01 |
30.08 |
38.47 |
30.08 |
37.54 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
18.53 |
14.87 |
23.69 |
14.87 |
16.62 |
14.91 |
23.69 |
20.73 |
L4205 |
31.84 |
22.13 |
22.13 |
22.13 |
22.13 |
22.13 |
32.47 |
29.53 |
L7520 |
37.54 |
41.94 |
41.00 |
43.25 |
40.22 |
46.84 |
38.57 |
41.94 |
2015
AK-MT
HCPCS |
AK |
AZ |
CA |
HI |
IA |
ID |
KS |
MO |
MT |
K0739 |
27.98 |
18.37 |
22.79 |
18.37 |
14.86 |
14.86 |
14.86 |
14.86 |
14.86 |
L4205 |
31.88 |
22.11 |
36.34 |
31.88 |
22.11 |
22.11 |
22.11 |
22.11 |
22.11 |
L7520 |
37.50 |
36.97 |
42.35 |
37.50 |
35.97 |
30.05 |
37.50 |
30.05 |
37.50 |
ND-WY
HCPCS |
ND |
NE |
NV |
OR |
SD |
UT |
WA |
WY |
K0739 |
18.51 |
14.86 |
23.67 |
14.86 |
16.60 |
14.90 |
23.67 |
20.71 |
L4205 |
31.81 |
22.11 |
22.11 |
22.11 |
22.11 |
22.11 |
32.44 |
29.50 |
L7520 |
37.50 |
41.90 |
40.96 |
43.21 |
40.18 |
46.79 |
38.53 |
41.00 |