MyMedi-AI

K0608 — Replacement garment for use with automated external defibrillator, each

HCPCS Level II K-code · short descriptor: “Repl garment for aed”

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
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 2026-10-25; 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.

K0608 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $172.74 to $207.26 depending on state and rural status.

Former-CBA payment limits: ceiling $172.74 · floor $146.83

StateNon-ruralRural
AK$172.74—
AL$172.74—
AR$172.74—
AZ$172.74—
CA$172.74—
CO$172.74—
CT$172.74—
DC$172.74—
DE$172.74—
FL$172.74—
GA$172.74—
HI$172.74—
IA$172.74—
ID$172.74—
IL$172.74—
IN$172.74—
KS$172.74—
KY$172.74—
LA$172.74—
MA$172.74—
MD$172.74—
ME$172.74—
MI$172.74—
MN$172.74—
MO$172.74—
MS$172.74—
MT$172.74—
NC$172.74—
ND$172.74—
NE$172.74—
NH$172.74—
NJ$172.74—
NM$172.74—
NV$172.74—
NY$172.74—
OH$172.74—
OK$172.74—
OR$172.74—
PA$172.74—
PR$207.26—
RI$172.74—
SC$172.74—
SD$172.74—
TN$172.74—
TX$172.74—
UT$172.74—
VA$172.74—
VI$172.74—
VT$172.74—
WA$172.74—
WI$172.74—
WV$172.74—
WY$172.74—

NU + KF — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $191.79 to $230.11 depending on state and rural status.

Former-CBA payment limits: ceiling $191.79 · floor $163.02

StateNon-ruralRural
AK$191.79—
AL$191.79—
AR$191.79—
AZ$191.79—
CA$191.79—
CO$191.79—
CT$191.79—
DC$191.79—
DE$191.79—
FL$191.79—
GA$191.79—
HI$191.79—
IA$191.79—
ID$191.79—
IL$191.79—
IN$191.79—
KS$191.79—
KY$191.79—
LA$191.79—
MA$191.79—
MD$191.79—
ME$191.79—
MI$191.79—
MN$191.79—
MO$191.79—
MS$191.79—
MT$191.79—
NC$191.79—
ND$191.79—
NE$191.79—
NH$191.79—
NJ$191.79—
NM$191.79—
NV$191.79—
NY$191.79—
OH$191.79—
OK$191.79—
OR$191.79—
PA$191.79—
PR$230.11—
RI$191.79—
SC$191.79—
SD$191.79—
TN$191.79—
TX$191.79—
UT$191.79—
VA$191.79—
VI$191.79—
VT$191.79—
WA$191.79—
WI$191.79—
WV$191.79—
WY$191.79—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $17.31 to $20.73 depending on state and rural status.

Former-CBA payment limits: ceiling $17.31 · floor $14.71

StateNon-ruralRural
AK$17.31—
AL$17.31—
AR$17.31—
AZ$17.31—
CA$17.31—
CO$17.31—
CT$17.31—
DC$17.31—
DE$17.31—
FL$17.31—
GA$17.31—
HI$17.31—
IA$17.31—
ID$17.31—
IL$17.31—
IN$17.31—
KS$17.31—
KY$17.31—
LA$17.31—
MA$17.31—
MD$17.31—
ME$17.31—
MI$17.31—
MN$17.31—
MO$17.31—
MS$17.31—
MT$17.31—
NC$17.31—
ND$17.31—
NE$17.31—
NH$17.31—
NJ$17.31—
NM$17.31—
NV$17.31—
NY$17.31—
OH$17.31—
OK$17.31—
OR$17.31—
PA$17.31—
PR$20.73—
RI$17.31—
SC$17.31—
SD$17.31—
TN$17.31—
TX$17.31—
UT$17.31—
VA$17.31—
VI$17.31—
VT$17.31—
WA$17.31—
WI$17.31—
WV$17.31—
WY$17.31—

RR + KF — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $19.21 to $23.01 depending on state and rural status.

Former-CBA payment limits: ceiling $19.21 · floor $16.33

StateNon-ruralRural
AK$19.21—
AL$19.21—
AR$19.21—
AZ$19.21—
CA$19.21—
CO$19.21—
CT$19.21—
DC$19.21—
DE$19.21—
FL$19.21—
GA$19.21—
HI$19.21—
IA$19.21—
ID$19.21—
IL$19.21—
IN$19.21—
KS$19.21—
KY$19.21—
LA$19.21—
MA$19.21—
MD$19.21—
ME$19.21—
MI$19.21—
MN$19.21—
MO$19.21—
MS$19.21—
MT$19.21—
NC$19.21—
ND$19.21—
NE$19.21—
NH$19.21—
NJ$19.21—
NM$19.21—
NV$19.21—
NY$19.21—
OH$19.21—
OK$19.21—
OR$19.21—
PA$19.21—
PR$23.01—
RI$19.21—
SC$19.21—
SD$19.21—
TN$19.21—
TX$19.21—
UT$19.21—
VA$19.21—
VI$19.21—
VT$19.21—
WA$19.21—
WI$19.21—
WV$19.21—
WY$19.21—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $129.55 to $155.47 depending on state and rural status.

Former-CBA payment limits: ceiling $129.55 · floor $110.12

StateNon-ruralRural
AK$129.55—
AL$129.55—
AR$129.55—
AZ$129.55—
CA$129.55—
CO$129.55—
CT$129.55—
DC$129.55—
DE$129.55—
FL$129.55—
GA$129.55—
HI$129.55—
IA$129.55—
ID$129.55—
IL$129.55—
IN$129.55—
KS$129.55—
KY$129.55—
LA$129.55—
MA$129.55—
MD$129.55—
ME$129.55—
MI$129.55—
MN$129.55—
MO$129.55—
MS$129.55—
MT$129.55—
NC$129.55—
ND$129.55—
NE$129.55—
NH$129.55—
NJ$129.55—
NM$129.55—
NV$129.55—
NY$129.55—
OH$129.55—
OK$129.55—
OR$129.55—
PA$129.55—
PR$155.47—
RI$129.55—
SC$129.55—
SD$129.55—
TN$129.55—
TX$129.55—
UT$129.55—
VA$129.55—
VI$129.55—
VT$129.55—
WA$129.55—
WI$129.55—
WV$129.55—
WY$129.55—

UE + KF — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $143.84 to $172.62 depending on state and rural status.

Former-CBA payment limits: ceiling $143.84 · floor $122.26

StateNon-ruralRural
AK$143.84—
AL$143.84—
AR$143.84—
AZ$143.84—
CA$143.84—
CO$143.84—
CT$143.84—
DC$143.84—
DE$143.84—
FL$143.84—
GA$143.84—
HI$143.84—
IA$143.84—
ID$143.84—
IL$143.84—
IN$143.84—
KS$143.84—
KY$143.84—
LA$143.84—
MA$143.84—
MD$143.84—
ME$143.84—
MI$143.84—
MN$143.84—
MO$143.84—
MS$143.84—
MT$143.84—
NC$143.84—
ND$143.84—
NE$143.84—
NH$143.84—
NJ$143.84—
NM$143.84—
NV$143.84—
NY$143.84—
OH$143.84—
OK$143.84—
OR$143.84—
PA$143.84—
PR$172.62—
RI$143.84—
SC$143.84—
SD$143.84—
TN$143.84—
TX$143.84—
UT$143.84—
VA$143.84—
VI$143.84—
VT$143.84—
WA$143.84—
WI$143.84—
WV$143.84—
WY$143.84—
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 K0608 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.

Common denial codes to watch

Related K-codes

Bill K0608 with confidence

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