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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Automated External Defibrillator and Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for K0606 |
National average reimbursement for HCPCS K0606 by major payers:

$21,151.99

$2,095.93

$13,673.19

$20,464.48
Choose a payer to see a sample of rates for HCPCS K0606.
Merrimack Valley Pediatric Associates, Inc.
Hea Clinic, P.A., Dba Houston Eye Associates
Mercy Medical Center
Hroa 401k Plan
St Francis Hospital
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS K0606 vs. Other Automated External Defibrillator and Supplies Codes
The HCPCS K0606 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Automated External Defibrillator 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 K0606 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 |
|---|---|---|
| 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 |
| K0607-HCPCS | Moderate | Replacement battery for automated external defibrillator, garment type only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0606 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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