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K0455 — Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)

HCPCS Level II K-code · short descriptor: “Pump uninterrupted infusion”

Code system
HCPCS Level II
Family
K — DME MAC temporary codes
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Frequently serviced
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

K0455 Medicare fee schedule (April 2026)

RR — Monthly rental Frequently serviced

Medicare allowable ranges from $320.84 to $483.38 depending on state and rural status.

Former-CBA payment limits: ceiling $377.46 · floor $320.84

StateNon-ruralRural
AK$452.07
AL$369.64
AR$377.46
AZ$350.32
CA$377.46
CO$377.46
CT$377.46
DC$377.46
DE$320.84
FL$345.54
GA$366.16
HI$483.38
IA$377.46
ID$377.46
IL$377.46
IN$377.46
KS$377.46
KY$377.46
LA$377.46
MA$320.84
MD$367.55
ME$320.84
MI$372.60
MN$377.46
MO$377.46
MS$340.45
MT$342.98
NC$377.46
ND$339.85
NE$377.46
NH$320.84
NJ$320.84
NM$333.66
NV$358.76
NY$320.84
OH$377.46
OK$377.46
OR$377.46
PA$320.84
PR$442.67
RI$329.59
SC$377.46
SD$370.18
TN$377.46
TX$377.46
UT$377.46
VA$320.84
VI$377.46
VT$320.84
WA$377.46
WI$377.46
WV$354.96
WY$369.04
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related K-codes

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