K0609 HCPCS code: Replacement electrodes for use with automated external defibrillator, garment type only, each
K0609 is the HCPCS Level II code for replacement electrodes for use with automated external defibrillator, garment type only, each. The 2026 Medicare DMEPOS fee schedule pays $1,148.78 to $1,378.59 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 34 — DMEPOS: supplies necessary for the effective use of DME |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2003-07-01 |
| Last action effective | 2003-07-01 |
2026 Medicare DMEPOS fee schedule for K0609
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1,148.78 | $1,378.59 | $1,148.78 | $976.46 |
| KF | FDA Class III device | $1,275.45 | $1,530.56 | $1,275.45 | $1,084.13 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1,148.78 | — |
| AL | — | $1,148.78 | — |
| AR | — | $1,148.78 | — |
| AZ | — | $1,148.78 | — |
| CA | — | $1,148.78 | — |
| CO | — | $1,148.78 | — |
| CT | — | $1,148.78 | — |
| DC | — | $1,148.78 | — |
| DE | — | $1,148.78 | — |
| FL | — | $1,148.78 | — |
| GA | — | $1,148.78 | — |
| HI | — | $1,148.78 | — |
| IA | — | $1,148.78 | — |
| ID | — | $1,148.78 | — |
| IL | — | $1,148.78 | — |
| IN | — | $1,148.78 | — |
| KS | — | $1,148.78 | — |
| KY | — | $1,148.78 | — |
| LA | — | $1,148.78 | — |
| MA | — | $1,148.78 | — |
| MD | — | $1,148.78 | — |
| ME | — | $1,148.78 | — |
| MI | — | $1,148.78 | — |
| MN | — | $1,148.78 | — |
| MO | — | $1,148.78 | — |
| MS | — | $1,148.78 | — |
| MT | — | $1,148.78 | — |
| NC | — | $1,148.78 | — |
| ND | — | $1,148.78 | — |
| NE | — | $1,148.78 | — |
| NH | — | $1,148.78 | — |
| NJ | — | $1,148.78 | — |
| NM | — | $1,148.78 | — |
| NV | — | $1,148.78 | — |
| NY | — | $1,148.78 | — |
| OH | — | $1,148.78 | — |
| OK | — | $1,148.78 | — |
| OR | — | $1,148.78 | — |
| PA | — | $1,148.78 | — |
| PR | — | $1,378.59 | — |
| RI | — | $1,148.78 | — |
| SC | — | $1,148.78 | — |
| SD | — | $1,148.78 | — |
| TN | — | $1,148.78 | — |
| TX | — | $1,148.78 | — |
| UT | — | $1,148.78 | — |
| VA | — | $1,148.78 | — |
| VI | — | $1,148.78 | — |
| VT | — | $1,148.78 | — |
| WA | — | $1,148.78 | — |
| WI | — | $1,148.78 | — |
| WV | — | $1,148.78 | — |
| WY | — | $1,148.78 | — |
| AK | KF | $1,275.45 | — |
| AL | KF | $1,275.45 | — |
| AR | KF | $1,275.45 | — |
| AZ | KF | $1,275.45 | — |
| CA | KF | $1,275.45 | — |
| CO | KF | $1,275.45 | — |
| CT | KF | $1,275.45 | — |
| DC | KF | $1,275.45 | — |
| DE | KF | $1,275.45 | — |
| FL | KF | $1,275.45 | — |
| GA | KF | $1,275.45 | — |
| HI | KF | $1,275.45 | — |
| IA | KF | $1,275.45 | — |
| ID | KF | $1,275.45 | — |
| IL | KF | $1,275.45 | — |
| IN | KF | $1,275.45 | — |
| KS | KF | $1,275.45 | — |
| KY | KF | $1,275.45 | — |
| LA | KF | $1,275.45 | — |
| MA | KF | $1,275.45 | — |
| MD | KF | $1,275.45 | — |
| ME | KF | $1,275.45 | — |
| MI | KF | $1,275.45 | — |
| MN | KF | $1,275.45 | — |
| MO | KF | $1,275.45 | — |
| MS | KF | $1,275.45 | — |
| MT | KF | $1,275.45 | — |
| NC | KF | $1,275.45 | — |
| ND | KF | $1,275.45 | — |
| NE | KF | $1,275.45 | — |
| NH | KF | $1,275.45 | — |
| NJ | KF | $1,275.45 | — |
| NM | KF | $1,275.45 | — |
| NV | KF | $1,275.45 | — |
| NY | KF | $1,275.45 | — |
| OH | KF | $1,275.45 | — |
| OK | KF | $1,275.45 | — |
| OR | KF | $1,275.45 | — |
| PA | KF | $1,275.45 | — |
| PR | KF | $1,530.56 | — |
| RI | KF | $1,275.45 | — |
| SC | KF | $1,275.45 | — |
| SD | KF | $1,275.45 | — |
| TN | KF | $1,275.45 | — |
| TX | KF | $1,275.45 | — |
| UT | KF | $1,275.45 | — |
| VA | KF | $1,275.45 | — |
| VI | KF | $1,275.45 | — |
| VT | KF | $1,275.45 | — |
| WA | KF | $1,275.45 | — |
| WI | KF | $1,275.45 | — |
| WV | KF | $1,275.45 | — |
| WY | KF | $1,275.45 | — |
How the K0609 fee compares
| Measure | Value |
|---|---|
| Rank among 2 K06 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $103.91–$1,153.12 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
Medicare policy articles for this code
- A52458: Automatic External Defibrillators - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (77 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| A18.84 | Tuberculosis of heart | 1 |
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery | 1 |
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery | 1 |
| I21.09 | ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall | 1 |
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery | 1 |
| I21.19 | ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall | 1 |
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery | 1 |
| I21.29 | ST elevation (STEMI) myocardial infarction involving other sites | 1 |
| I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site | 1 |
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction | 1 |
Showing 10 of 77. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for K0609
- 2026-01-01: Average state fee rose 2.0%: $1,130.50 to $1,153.12
- 2026-01-01: Average state fee (KF) rose 2.0%: $1,255.16 to $1,280.26
- 2003-07-01: K0609 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code K0609?
K0609 is the HCPCS Level II code for replacement electrodes for use with automated external defibrillator, garment type only, each. Short descriptor: "Repl electrode for aed".
How much does Medicare pay for K0609?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1,148.78–$1,378.59; KF (FDA Class III device): $1,275.45–$1,530.56. Rural fees can be higher.
Does Medicare cover K0609?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for K0609?
Medicare policy articles that cite K0609 list 77 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A18.84 (Tuberculosis of heart), I21.01 (ST elevation (STEMI) myocardial infarction involving left main coronary artery), I21.02 (ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for K0609 change in 2026?
The average non-rural state fee moved from $1,130.50 in 2025 to $1,153.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of K0609 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related K06 codes
- K0601 — Replacement battery for external infusion pump owned by patient, silver oxide, 1.5 volt, each ($1.57–$1.72)
- K0602 — Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each ($8.88–$9.89)
- K0603 — Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each ($0.80–$0.91)
- K0604 — Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each ($8.56–$9.50)
- K0605 — Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each ($20.45–$22.73)
- K0606 — Automatic external defibrillator, with integrated electrocardiogram analysis, garment type ($3,588.90–$3,588.90)
- K0607 — Replacement battery for automated external defibrillator, garment type only, each ($27.69–$36.87)
- K0608 — Replacement garment for use with automated external defibrillator, each ($17.31–$230.11)
- K0669 — Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
- K0672 — Addition to lower extremity orthosis, removable soft interface, all components, replacement only, each ($101.70–$111.87)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under K0609
- Watch K0609 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0609
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.