K1034 HCPCS code: Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count
K1034 is the HCPCS Level II code for provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count. In 2023 Medicare paid an average of $11.62 per service for K1034 across 153,467,557 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 65% from 2022 to 2023 (92,897,351 to 153,467,557 services). In 2023, about 35,429 clinicians billed Medicare for K1034 for 7,831,696 beneficiaries; Illinois, Texas, Florida accounted for 54% of services.
Code details
| Field | Value |
|---|---|
| Section | K codes — Temporary codes for DME MACs |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2022-04-04 |
| Last action effective | 2023-05-12 |
Who bills K1034 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 35,429 |
| Medicare beneficiaries | 7,831,696 |
| States with claims | 54 |
| Share of services in top 3 states (Illinois, Texas, Florida) | 54% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for K1034, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 92,897,351 | 7,582,635 | $11.36 | $11.36 |
| 2023 | 153,467,557 | 7,831,696 | $11.62 | $11.62 |
States with the most K1034 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| Illinois | 40,633,876 | $11.72 |
| Texas | 25,057,342 | $11.72 |
| Florida | 17,028,452 | $11.65 |
| California | 14,121,586 | $11.57 |
| New York | 9,407,243 | $11.57 |
What changed for K1034
- 2022-04-04: K1034 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 K1034?
K1034 is the HCPCS Level II code for provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count. Short descriptor: "Covid test self-admn/collect".
How much does Medicare pay for K1034?
In 2023, the average Medicare payment was $11.62 per service (average allowed $11.62).
Does Medicare cover K1034?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related K10 codes
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- 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
- K1011 — Activation device for intraurethral drainage device with valve, replacement only, each
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- K1013 — Enema tube, with or without adapter, any type, replacement only, each
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 K1034
- Watch K1034 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K1034
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.