K0743 HCPCS code: Suction pump, home model, portable, for use on wounds
K0743 is the HCPCS Level II code for suction pump, home model, portable, for use on wounds. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2011-07-01 |
| Last action effective | 2011-07-01 |
Medicare policy articles for this code
- A52519: Suction Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (8 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| J95.00 | Unspecified tracheostomy complication | 1 |
| J95.01 | Hemorrhage from tracheostomy stoma | 1 |
| J95.02 | Infection of tracheostomy stoma | 1 |
| J95.03 | Malfunction of tracheostomy stoma | 1 |
| J95.04 | Tracheo-esophageal fistula following tracheostomy | 1 |
| J95.09 | Other tracheostomy complication | 1 |
| Z43.0 | Encounter for attention to tracheostomy | 1 |
| Z93.0 | Tracheostomy status | 1 |
What changed for K0743
- 2011-07-01: K0743 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 K0743?
K0743 is the HCPCS Level II code for suction pump, home model, portable, for use on wounds. Short descriptor: "Portable home suction pump".
Does Medicare cover K0743?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for K0743?
Medicare policy articles that cite K0743 list 8 covered ICD-10-CM diagnosis codes across 1 article. The most cited include J95.00 (Unspecified tracheostomy complication), J95.01 (Hemorrhage from tracheostomy stoma), J95.02 (Infection of tracheostomy stoma). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Related K07 codes
- K0730 — Controlled dose inhalation drug delivery system ($245.69–$245.69)
- K0733 — Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) ($3.25–$44.63)
- K0738 — Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing ($46.28–$88.58)
- K0739 — Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes ($20.11–$37.86)
- K0740 — Repair or nonroutine service for oxygen equipment requiring the skill of a technician, labor component, per 15 minutes
- K0744 — Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less
- K0745 — Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches
- K0746 — Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches
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Next steps
- Run a reimbursement report for a device billed under K0743
- Watch K0743 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K0743
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.