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See a sample rate comparisonHCPCS K0609 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 electrodes for use with automated external defibrillator, garment type only, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Automated External Defibrillator and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for K0609 |
National average reimbursement for HCPCS K0609 by major payers:
$964.43
$659.82
$703.63
$1,352.55
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HCPCS K0609
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,287.38Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1,250.43Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$704.78Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$566.42Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$415.89Published rate
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See a sample payer proposalHCPCS K0609 vs. Other Automated External Defibrillator and Supplies Codes
The HCPCS K0609 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 K0609 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 |
|---|---|---|
| K0608-HCPCS | Low | Replacement garment for use with automated external defibrillator, each |
| K0609-HCPCS | Moderate | Replacement electrodes for use with automated external defibrillator, garment type only, each |
| K0669-HCPCS | Moderate | Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0609. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0609 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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