K1035 HCPCS code: Molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared
K1035 is the HCPCS Level II code for molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared. 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 | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2023-04-01 |
| Last action effective | 2023-04-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
| outpatient hospital claims | 1 | Nature of Equipment |
| practitioner claims | 1 | Nature of Equipment |
What changed for K1035
- 2023-04-01: K1035 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 K1035?
K1035 is the HCPCS Level II code for molecular diagnostic test reader, nonprescription self-administered and self-collected use, fda approved, authorized or cleared. Short descriptor: "Mol diag reader self-admn".
Does Medicare cover K1035?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of K1035 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related K10 codes
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Next steps
- Run a reimbursement report for a device billed under K1035
- Watch K1035 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for K1035
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.