MyMedi-AI

K0606 — Automatic external defibrillator, with integrated electrocardiogram analysis, garment type

HCPCS Level II K-code · short descriptor: “Aed garment w elec analysis”

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
Capped rental
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
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 2026-10-26; 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 2026-10-26; 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.

K0606 Medicare fee schedule (October 2026)

RR + KF — Monthly rental Capped rental

Medicare allowable: $3588.90 in all listed states.

Former-CBA payment limits: ceiling $3588.90 · floor $3050.57

StateNon-ruralRural
AK$3588.90—
AL$3588.90—
AR$3588.90—
AZ$3588.90—
CA$3588.90—
CO$3588.90—
CT$3588.90—
DC$3588.90—
DE$3588.90—
FL$3588.90—
GA$3588.90—
HI$3588.90—
IA$3588.90—
ID$3588.90—
IL$3588.90—
IN$3588.90—
KS$3588.90—
KY$3588.90—
LA$3588.90—
MA$3588.90—
MD$3588.90—
ME$3588.90—
MI$3588.90—
MN$3588.90—
MO$3588.90—
MS$3588.90—
MT$3588.90—
NC$3588.90—
ND$3588.90—
NE$3588.90—
NH$3588.90—
NJ$3588.90—
NM$3588.90—
NV$3588.90—
NY$3588.90—
OH$3588.90—
OK$3588.90—
OR$3588.90—
PA$3588.90—
PR$3588.90—
RI$3588.90—
SC$3588.90—
SD$3588.90—
TN$3588.90—
TX$3588.90—
UT$3588.90—
VA$3588.90—
VI$3588.90—
VT$3588.90—
WA$3588.90—
WI$3588.90—
WV$3588.90—
WY$3588.90—
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 K0606 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related K-codes

Bill K0606 with confidence

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