HCPCS code J1322: Elosulfase alfa billing guide
HCPCS code J1322 is the Healthcare Common Procedure Coding System Level II code for injection, elosulfase alfa, 1 mg. Elosulfase alfa is the enzyme replacement therapy sold as Vimizim by BioMarin. It treats Mucopolysaccharidosis type IVA, better known as Morquio A syndrome. One billable unit equals 1 mg of drug administered. That one-milligram definition is […]
HCPCS code E0293: Hospital bed billing guide for Medicare DMEPOS
HCPCS code E0293 covers a hospital bed, variable height, hi-lo, without side rails, without mattress. Neither rails nor a mattress sits inside that code, and that is where most E0293 claims go wrong. Missing a modifier on an E0293 rental claim rarely stops at a denial. It starts a resubmission cycle that can delay payment […]
HCPCS code K0046: Elevating legrest lower extension tube billing guide
K0046 covers an elevating legrest lower extension tube, replacement only. Bill it for new equipment and the DME MAC denies it.
HCPCS Code B4036: Enteral feeding supply kit, gravity fed, per day
B4036 bills a gravity-fed enteral feeding supply kit per day. Match the code to the order’s delivery method and skip the retired CMN.
HCPCS code C1899: Lead, pacemaker/defibrillator combination implantable
HCPCS code C1899 covers a lead, pacemaker/cardioverter-defibrillator combination implantable. It describes one implanted lead that delivers pacing impulses and defibrillation shocks from the same component. Hospital outpatient departments report it under the Outpatient Prospective Payment System (OPPS), and nowhere else. This reference covers the code description, its attributes, and 2026 fee schedule context. It also […]
HCPCS code H2000: Comprehensive multidisciplinary evaluation
HCPCS code H2000 is the billing code for a comprehensive multidisciplinary evaluation in behavioral health settings. It covers a team-based assessment of a patient’s mental health and substance use needs. The code sits in HCPCS Level II, under the category “Other Mental Health and Community Support Services.” It has been active since 2003 and remains […]
HCPCS code E0191: Heel or elbow protector billing guide
HCPCS code E0191 pays for a heel or elbow protector, a reusable padded device that guards a bony pressure point from breaking down. On paper, it is one of the simplest codes in the DME book. The claim behind it is not always as simple. Suppliers lose these small claims to the same handful of […]
HCPCS code E0189: Lambswool sheepskin pad billing guide
HCPCS code E0189 covers a lambswool sheepskin pad of any size, billed to Medicare Part B as durable medical equipment. Coverage sits under LCD L33830, the Group 1 policy for pressure reducing support surfaces. The code itself is straightforward, but the file behind it is where claims come apart. Denials for this code almost always […]
HCPCS Code J0275: Alprostadil urethral suppository billing guide
J0275 bills one unit per alprostadil suppository, with no per-mcg math. Medicare’s self-administered drug exclusion usually applies.
HCPCS Code H2031: Mental health clubhouse services, per diem
HCPCS Code H2031 covers mental health clubhouse services billed on a per diem basis. One unit equals one full calendar day of program participation, whatever hours the member attends. The code is active for 2026 and sits in the H-series of HCPCS Level II, which covers mental health and substance abuse services. H2031 is maintained […]