K1004 – Low frequency ultrasonic diathermy treatment device for home use
HCPCS Level II code · K codes: Temporary Codes for DME
HCPCS codeK1004
- Long description
- Low frequency ultrasonic diathermy treatment device for home use
- Short description
- Lo freq us diathermy device
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
SNon-covered by Medicare statute- BETOS category
Z2Undefined codes- Added
- January 1, 2020
- Last change
- October 1, 2023 – No change
Frequently asked questions
What is HCPCS code K1004?
K1004 is a HCPCS Level II code for low frequency ultrasonic diathermy treatment device for home use.
Does Medicare cover K1004?
The HCPCS file lists coverage code S: Non-covered by Medicare statute. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby K codes
- K0899 – Power mobility device, not coded by dme pdac or does not meet criteria
- K0900 – Customized durable medical equipment, other than wheelchair
- K0901 – Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
- K0902 – Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
- K0903 – For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
- K1001 – Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
- K1002 – Cranial electrotherapy stimulation (ces) system, any type
- K1003 – Whirlpool tub, walk-in, portable
- K1005 – Disposable collection and storage bag for breast milk, any size, any type, each
- K1006 – Suction pump, home model, portable or stationary, electric, any type, for use with external urine management system
- K1007 – Bilateral hip, knee, ankle, foot device, powered, includes pelvic component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and accessories, motors, microprocessors, sensors
- K1009 – Speech volume modulation system, any type, including all components and accessories
- K1010 – Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
- K1011 – Activation device for intraurethral drainage device with valve, replacement only, each
- K1012 – Charger and base station for intraurethral activation device, replacement only
- K1013 – Enema tube, with or without adapter, any type, replacement only, each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.