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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable medical equipment (DME) Medicare administrative contractors (MACs) Miscellaneous DME and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for K0739 |
National average reimbursement for HCPCS K0739 by major payers:

$25.22

$11.79

$12.19

$17.20
Choose a payer to see a sample of rates for HCPCS K0739.
Merrimack Valley Pediatric Associates, Inc.
Samaritan Emergency Medical Services PC
Charleston Radiologists, P.A.
Evans Memorial Hospital Inc
Good Samaritan Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
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 K0739 vs. Other Miscellaneous DME and Accessories Codes
The HCPCS K0739 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Miscellaneous DME and Accessories. 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 K0739 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 |
|---|---|---|
| K0738-HCPCS | Low | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
| K0739-HCPCS | Low | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
| K0740-HCPCS | Low | Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0739. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the K0739 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.
Bring your top codes (like HCPCS K0739) and we'll show you how you compare in 15 minutes or less.