K1004 – Low frequency ultrasonic diathermy treatment device for home use

HCPCS Level II code · K codes: Temporary Codes for DME

Active code Non-covered by Medicare statute

HCPCS codeK1004
Long description
Low frequency ultrasonic diathermy treatment device for home use
Short description
Lo freq us diathermy device
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
S Non-covered by Medicare statute
BETOS category
Z2 Undefined 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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.