KM HCPCS Level II modifier: Replacement of facial prosthesis including new impression/moulage
KM is a HCPCS Level II modifier: “Replacement of facial prosthesis including new impression/moulage.” It adds this detail to the code it is reported with.
Official description
KMReplacement of facial prosthesis including new impression/moulage
Short description: Rplc facial prosth new imp
HCPCS · United States
Medicare details
The indicators CMS publishes with KM in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Added
- Jan 1, 1996
Where KM sits
- 1GroupHCPCS modifiers
- 2Modifier KMReplacement of facial prosthesis including new impression/moulage
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code KM mean?
KM is the HCPCS code for “Replacement of facial prosthesis including new impression/moulage” in CMS’s HCPCS Level II October 2026 release.
Where is KM in the HCPCS Level II list?
KM is listed under Modifiers.
Does Medicare cover KM?
CMS lists KM’s Medicare coverage as “Carrier judgment”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside KM
All modifiersKGDmepos item subject to dmepos competitive bidding program number 1KHDmepos item, initial claim, purchase or first month rentalKIDmepos item, second or third month rentalKJDmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteenKKDmepos item subject to dmepos competitive bidding program number 2KLDmepos item delivered via mailKNReplacement of facial prosthesis using previous master modelKOSingle drug unit dose formulationKPFirst drug of a multiple drug unit dose formulationKQSecond or subsequent drug of a multiple drug unit dose formulationKRRental item, billing for partial monthKSGlucose monitor supply for diabetic beneficiary not treated with insulin