The Durable Medical Equipment Medicare Administrative Contractors, Noridian and CGS, released 2024 labor fee amounts for Healthcare Common Procedure Coding System (HCPCS) codes K-0739, L-4205, and L-7520.
Repair or maintenance of equipment is billed with applicable HCPCS codes for replacement parts. Claims for labor for patient-owned equipment require one of the following HCPCS codes:
- K-0739: Repair or nonroutine service for DME other than oxygen requiring the skill of a technician, labor component, per 15 minutes
- L-4205: Repair of orthotic device, labor component, per 15 minutes
- L-7520: Repair of prosthetic device, labor component, per 15 minutes
The CGS rates are the same for each of the states it manages: K-0739 is $19.01; L-4205 is $28.31; and L-7520 is $38.45. Noridian’s rates vary by state.
To see the state-by-state rates, visit the Noridian or CGS websites.
https://cgsmedicare.com/jb/coverage/fees/labor/2024_labor_fees.html
https://med.noridianmedicare.com/web/jddme/fees-news/fee-schedules/labor-payment-rates
