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HCPCS Level II K1013: Enema Tube, Replacement Only
HCPCS Level II code K1013 identifies an enema tube (with or without adapter) supplied as a replacement item, billed per each unit. Nationally, this code matters because it standardizes billing for a common bowel-care supply used across outpatient clinics, home health agencies, and ambulatory care settings, impacting coverage determinations and durable medical equipment supply workflows. Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what K1013 represents clinically and operationally, which payers commonly cover it, and the typical contexts for its use. The report provides benchmarks and policy context relevant to durable medical equipment replacement supplies, outlines common billing practices for replacement items, and summarizes variations in payer coverage approaches. The summary also highlights supply classification, expected sites of service, and the administrative considerations that affect claims for replacement enema tubes. Data not available in the input is noted where specific details (such as associated taxonomies, ICD-10 diagnosis pairings, and payer-specific reimbursement rates) are missing.
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Billing Code Overview
HCPCS Level II code K1013 describes an enema tube, with or without adapter, any type, replacement only, each. This item is a disposable or reusable conduit used to deliver enemas for bowel evacuation or medication administration. Service type: Durable Medical Equipment (replacement supply). Typical site of service: outpatient settings, home health care, and other ambulatory care locations where patients receive bowel care supplies.
Data not available in the input.