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See a sample rate comparisonHCPCS K0605 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) INFUSION PUMPS AND SUPPLIES |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for K0605 |
National average reimbursement for HCPCS K0605 by major payers:
$16.49
$10.93
$11.43
$23.82
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HCPCS K0605
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$36.21Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$13.02Published rateLower Oconee Community Hospital Inc
$9.48Published rateMichael Guillette
Aztec Urgent Care LLC
$8.00Published rateAlicia Encinas
Miguel A Arenas Md PC
$6.57Published rate
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See a sample payer proposalHCPCS K0605 vs. Other INFUSION PUMPS AND SUPPLIES Codes
The HCPCS K0605 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for INFUSION PUMPS AND SUPPLIES. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS K0605 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| K0604-HCPCS | Low | Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each |
| K0605-HCPCS | Low | Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each |
| K0606-HCPCS | High | Automatic external defibrillator, with integrated electrocardiogram analysis, garment type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0605 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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