K1009 HCPCS code: Speech volume modulation system, any type, including all components and accessories
K1009 is the HCPCS Level II code for speech volume modulation system, any type, including all components and accessories. CMS terminated K1009 on 2023-12-31; do not bill it for later dates of service. In 2023 Medicare paid an average of $154.17 per service for K1009 across 373 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2023, 2 suppliers billed Medicare for K1009 (rentals), serving 67 beneficiaries; Florida, Georgia, North Carolina accounted for 70% of services.
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 | 2020-10-01 |
| Last action effective | 2024-01-01 |
| Terminated | 2023-12-31 |
Who bills K1009 (2023)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 2 |
| Suppliers billing purchases | — |
| Referring clinicians | 42 |
| Medicare beneficiaries | 67 |
| States with claims | 7 |
| Share of services in top 3 states (Florida, Georgia, North Carolina) | 70% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for K1009, 2023–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 373 | 67 | $196.73 | $154.17 |
States with the most K1009 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 130 | $152.95 |
| Georgia | 63 | $159.94 |
| North Carolina | 39 | $149.90 |
| Ohio | 34 | $157.06 |
| Indiana | 28 | $154.43 |
What changed for K1009
- 2020-10-01: K1009 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 K1009?
K1009 is the HCPCS Level II code for speech volume modulation system, any type, including all components and accessories. Short descriptor: "Speech volume modulation sys".
How much does Medicare pay for K1009?
In 2023, the average Medicare payment was $154.17 per service (average allowed $196.73).
Does Medicare cover K1009?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related K10 codes
- K1001 — Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
- K1002 — Cranial electrotherapy stimulation (ces) system, any type
- K1003 — Whirlpool tub, walk-in, portable
- K1004 — Low frequency ultrasonic diathermy treatment device for home use
- K1005 — Disposable collection and storage bag for breast milk, any size, any type, each
- K1006 — Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system
- K1007 — Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors ($95,081.03–$95,081.03)
- K1010 — Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
- K1011 — Activation device for intraurethral drainage device with valve, replacement only, each
- K1012 — Charger and base station for intraurethral activation device, replacement only
- K1013 — Enema tube, with or without adapter, any type, replacement only, each
- K1014 — Addition, endoskeletal knee-shin system, 4 bar linkage or multiaxial, fluid swing and stance phase control
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 K1009
- Watch K1009 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K1009
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.