HCPCS Code J1364: erythromycin lactobionate billing guide
HCPCS Code J1364: definition and code details HCPCS Code J1364 covers the injection of erythromycin lactobionate at a billing unit of per 500 mg. Most billing teams reach this code while confirming the right J-code for an IV antibiotic. It is billed from physician offices, outpatient infusion centers, and hospital-based infusion suites. Unit structure is […]
HCPCS Code E0607: Home blood glucose monitor billing guide
E0607 covers a home blood glucose monitor. CMS retired the CMN in 2023, so the standard written order now carries the order.
HCPCS Code J0600: Injection, edetate calcium disodium
J0600 covers edetate calcium disodium up to 1,000 mg. Bill JA for IV, one unit per 1,000 mg, and add the NDC on Medicaid claims.
HCPCS Code T4534: Youth-sized disposable incontinence product
HCPCS Code T4534 is the Level II code for a single youth-sized disposable incontinence product in the protective underwear or pull-on format. It is billed per unit and paid by state Medicaid programs, not by Medicare. Denials usually trace back to missing records or state quantity limits rather than the code choice. Patient care management […]
HCPCS Code V2209: Spherocylinder bifocal lens billing guide
HCPCS Code V2209 bills a spherocylinder bifocal spectacle lens. Specifically, sphere power runs from plus or minus 4.25 to 7.00D, with cylinder power of 4.25 to 6.00D. In addition, it is billed per lens, one claim line per eye. However, Medicare Part B covers it only after cataract surgery with an intraocular lens. Overall, this […]
HCPCS code P2029: Congo red, blood billing guide
The official description for HCPCS code P2029 is Congo red, blood. It sits in the Level II HCPCS P-series, which the Centers for Medicare and Medicaid Services (CMS) maintains for pathology and laboratory services. The code covers Congo red staining performed on a blood specimen, usually when a clinician suspects amyloid deposition. Good clinical documentation […]
HCPCS code K0065: Spoke protectors, each
HCPCS code K0065 is a Level II Healthcare Common Procedure Coding System code maintained by the Centers for Medicare and Medicaid Services (CMS). Its official descriptor is “Spoke protectors, each.” The code is active for dates of service in 2026 and sits in the K0001-K0195 wheelchair and accessories range. Level II HCPCS codes cover products […]
HCPCS code J0153: Adenosine injection 1 mg billing guide
HCPCS code J0153 is the current active code for adenosine injection, billed per 1 mg. The Centers for Medicare and Medicaid Services (CMS) maintains the official descriptor. It reads “Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds).” That parenthetical exclusion carries the same weight as the rest of the […]
HCPCS code L0458: TLSO billing, fee schedule, and documentation
HCPCS code L0458 is a billable DMEPOS code for a prefabricated thoracic-lumbar-sacral orthosis, or TLSO. The brace has triplanar control, two rigid plastic shells, and a soft liner. It is prefabricated rather than custom fabricated, and that distinction drives the code you select, the records you keep, and your payment. Every word of the descriptor […]
HCPCS code T2016: Residential habilitation billing guide
HCPCS code T2016 is a Level II code with the official descriptor Habilitation, residential, waiver; per diem. It pays for one day of habilitation support delivered in a residential setting, funded through a Medicaid Home and Community-Based Services (HCBS) waiver. Billing it is simple in principle. One day of service equals one unit. The work […]