HCPCS code S0618: Audiometry billing and coverage rules
HCPCS code S0618 covers audiometry for hearing aid evaluation. Medicare won’t pay it, but Medicaid usually will. Read more on modifiers, ICD-10 and rates.
HCPCS code E0329: Pediatric hospital bed billing guide
HCPCS code E0329 is a Level II HCPCS code in the Durable Medical Equipment (DME) category. It is active for 2026. The Centers for Medicare and Medicaid Services (CMS) maintains the HCPCS Level II code set, which covers equipment and supplies not included in CPT. The official long description reads: Hospital bed, pediatric, electric or […]
HCPCS code E0248: Transfer bench, heavy duty, for tub or toilet
HCPCS code E0248 covers a heavy duty transfer bench for a tub or toilet, with or without a commode opening. It is the reinforced twin of the standard bench described by E0247. Those two words, “heavy duty”, are where the money sits. A reviewer wants to see why a standard bench would not hold this […]
HCPCS Code A4771: Serum clotting time tube for dialysis billing
HCPCS Code A4771 is a Level II supply code with the descriptor “Serum clotting time tube, for dialysis, per 50.” One billed unit covers 50 tubes, not one tube. Two details decide whether the claim is paid. The first is that per-50 unit of service. The second is whether the supply already sits inside the […]
HCPCS Code J0735: Clonidine hydrochloride billing guide
HCPCS Code J0735 is the Medicare billing code for an injection of clonidine hydrochloride at 1 mg. One unit equals one milligram administered. Practices that give the drug in an office or outpatient setting bill it through Medicare Part B claims. The injectable product carries a single FDA-approved indication, which drives most coverage decisions on […]
HCPCS code J0630: Calcitonin salmon injection billing guide
HCPCS code J0630 covers calcitonin salmon, up to 400 units. Get the SAD exclusion rules, ICD-10 pairings, and the national ASP rate.
HCPCS code E0236: Water circulating pad pump billing guide
A patient’s water circulating heat pad stops working, and the pump is the part that failed. E0236 is the HCPCS code for that replacement pump, but Medicare denies it anyway. The denial has nothing to do with the diagnosis, the paperwork, or the modifier you picked. LCD L33784 rules out the whole water circulating system, […]
HCPCS code J0585: Billing guide for onabotulinumtoxinA
HCPCS code J0585 is the billing code for injection, onabotulinumtoxinA, 1 unit. It pays for the drug itself, not for the injection procedure, and one unit on the claim equals one unit administered. Medicare and Medicaid pay it only for FDA-approved therapeutic indications, never for cosmetic treatment. This guide covers the descriptor, the covered and […]
HCPCS Code J0364: Apomorphine hydrochloride billing guide
HCPCS Code J0364 is the billing code for injection of apomorphine hydrochloride, 1 mg. It covers Apokyn, the rescue injection used for sudden off episodes in advanced Parkinson’s disease. One unit equals 1 mg administered, so a 2 mg dose bills as 2 units. This reference covers the official descriptor, Medicare Part B coverage, the […]
HCPCS code E0217: Water circulating heat pad billing guide
HCPCS code E0217 covers that pad and its pump, and Local Coverage Determination L33784 calls the whole system not reasonable and necessary. That turns the billing job on its head, as nobody is hunting for the diagnosis that unlocks coverage, because CMS never published one. Your work is the notice, the modifier, and knowing which […]