K1011 HCPCS code: Activation device for intraurethral drainage device with valve, replacement only, each
K1011 is the HCPCS Level II code for activation device for intraurethral drainage device with valve, replacement only, each. CMS terminated K1011 on 2021-03-31; do not bill it for later dates of service. 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 | 99 |
| BETOS category | Z2 |
| Added | 2020-10-01 |
| Last action effective | 2021-04-01 |
| Terminated | 2021-03-31 |
Medicare policy articles for this code
- A52521: Urological Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (1 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| N39.3 | Stress incontinence (female) (male) | 1 |
What changed for K1011
- 2020-10-01: K1011 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 K1011?
K1011 is the HCPCS Level II code for activation device for intraurethral drainage device with valve, replacement only, each. Short descriptor: "Acti intraurethral drainage".
Does Medicare cover K1011?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for K1011?
Medicare policy articles that cite K1011 list 1 covered ICD-10-CM diagnosis codes across 1 article. The most cited include N39.3 (Stress incontinence (female) (male)). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
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)
- K1009 — Speech volume modulation system, any type, including all components and accessories
- K1010 — Indwelling intraurethral drainage device with valve, patient inserted, 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 K1011
- Watch K1011 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K1011
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.