Question 1

What is HCPCS code K0552?

Accepted Answer

HCPCS code K0552 is "Sup/ext non-ins inf pump syr". Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each

Question 2

What category is K0552 in?

Accepted Answer

K0552 belongs to HCPCS Category K (Temporary DME Codes).

Question 3

When should I use HCPCS code K0552?

Accepted Answer

Use K0552 when billing for sup/ext non-ins inf pump syr. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is K0552 covered by Medicare?

Accepted Answer

Coverage for K0552 (Sup/ext non-ins inf pump syr) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for K0552?

Accepted Answer

Documentation for K0552 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).