HCPCS code K0041: Large size footplate billing guide
HCPCS code K0041 covers a large size footplate supplied as a wheelchair accessory. The official descriptor is “Large size footplate, each,” so the code is billed per footplate rather than per pair. A patient who needs two large footplates gets two units of K0041. K0041 sits in the HCPCS Level II K-series, which the Centers […]
HCPCS code G0268: Billing, reimbursement, and documentation guide
G0268 applies only when audiologic testing happens the same day. Audiologists can never bill it under their own NPI.
HCPCS code E0239: Hydrocollator unit, portable billing guide
E0239 covers a portable hydrocollator unit. Medicare pays it as DME with a dated order and a live ICD-10 code, not M54.5.
HCPCS code J0745: Codeine phosphate injection billing guide
HCPCS code J0745 is the Level II code used to bill for an injection of codeine phosphate at a rate of per 30 mg. It belongs to the J-series of HCPCS Level II codes, which cover separately payable injectable and infused drugs administered in physician offices, outpatient hospital settings, and other clinical environments. According to […]
HCPCS Code E0111: Forearm crutch billing, modifiers, and coverage
E0111 is one forearm crutch and E0110 is a pair. Get the descriptor, Medicare coverage, modifiers, and the unit rule behind most denials.
HCPCS code E0159: Walker brake attachment billing guide
E0159 covers a replacement brake on a wheeled walker, billed each with RA. Read more on coverage, written orders, and modifiers.
HCPCS code E0155: Walker wheel attachment billing guide
HCPCS code E0155 covers a pair of wheels fitted to a rigid pick-up walker. Medicare pays it in two situations only. Replacement wheels on a walker the beneficiary already owns qualify, and so do wheels added to a non-wheeled walker later on. The initial issue of a new walker is where billing teams get caught. […]
HCPCS Code H0044: Supported housing, per month
HCPCS Code H0044 is the Level II code for supported housing, billed once per calendar month. Medicaid and its contracted managed care plans pay for it. Traditional Medicare does not. The per-month unit is what trips billers up. One claim line covers the whole month, however many contacts your team logged. Rates are set state […]
HCPCS Code H0029: Alcohol and drug prevention alternatives service
H0029 covers alcohol and drug prevention alternatives service. It bills per service, not 15-minute units, and your state sets the unit.
HCPCS code H1003: Prenatal at-risk education billing guide
H1003 is prenatal at-risk education, not substance use case management. Units, modifiers, and rates are set state by state.