HCPCS code K1027 — Oral dev without fix mech.
Status: Active.
Effective Oct 1, 2021.
Source: CMS HCPCS Level II.
K1027
ActiveOral dev without fix mech
Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment
Category:
Temporary DME
Section:
K-codes: Temporary DME Codes
Effective:
Oct 1, 2021
Code type:
alphanumeric
OPPS Status:
Y
— Non-implantable durable medical equipment
MUE — Medically Unlikely Edits
Maximum units of K1027 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 1 |
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2021-Q4Oral dev without fix mech