MyMedi-AI

K0603 — Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each

HCPCS Level II K-code · short descriptor: “Repl batt alkaline 1.5 v”

Code system
HCPCS Level II
Family
K — DME MAC temporary codes
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
10
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

K0603 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $0.80 to $0.91 depending on state and rural status.

StateNon-ruralRural
AK$0.80—
AL$0.80$0.80
AR$0.80$0.80
AZ$0.80$0.80
CA$0.80$0.80
CO$0.80$0.80
CT$0.80$0.80
DC$0.80$0.80
DE$0.80$0.80
FL$0.80$0.80
GA$0.80$0.80
HI$0.80—
IA$0.80$0.80
ID$0.80$0.80
IL$0.80$0.80
IN$0.80$0.80
KS$0.80$0.80
KY$0.80$0.80
LA$0.80$0.80
MA$0.80$0.80
MD$0.80$0.80
ME$0.80$0.80
MI$0.80$0.80
MN$0.80$0.80
MO$0.80$0.80
MS$0.80$0.80
MT$0.80$0.80
NC$0.80$0.80
ND$0.80$0.80
NE$0.80$0.80
NH$0.80$0.80
NJ$0.80$0.80
NM$0.80$0.80
NV$0.80$0.80
NY$0.80$0.80
OH$0.80$0.80
OK$0.80$0.80
OR$0.80$0.80
PA$0.80$0.80
PR$0.91—
RI$0.80$0.80
SC$0.80$0.80
SD$0.80$0.80
TN$0.80$0.80
TX$0.80$0.80
UT$0.80$0.80
VA$0.80$0.80
VI$0.80—
VT$0.80$0.80
WA$0.80$0.80
WI$0.80$0.80
WV$0.80$0.80
WY$0.80$0.80
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps K0603 at 10 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.

Common denial codes to watch

Related K-codes

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