HCPCS code C1900: Left ventricular lead billing guide
C1900 reports the left ventricular lead on a hospital outpatient CRT claim. See the UB-04 mechanics, ICD-10 pairings, and device credit rules. Read more.
HCPCS Code H2012: Behavioral health day treatment billing guide
HCPCS Code H2012 covers behavioral health day treatment, billed in one-hour units. It sits in the HCPCS Level II H-series, the range state Medicaid agencies use for behavioral health services that CPT codes do not describe well. This reference walks through who can bill H2012 and which place of service codes hold up. It also […]
HCPCS Code H2019: Therapeutic behavioral services, per 15 minutes
HCPCS Code H2019 covers therapeutic behavioral services, billed in 15-minute units. It is a HCPCS Level II code, paid almost entirely through state Medicaid programs and the managed care plans that run their behavioral health benefits. This guide covers the official descriptor, who can bill the code, Medicaid reimbursement rates, modifiers, documentation requirements, and the […]
HCPCS Code H0025: Behavioral health prevention education
HCPCS Code H0025 covers behavioral health prevention education delivered to a target population, with the aim of changing knowledge, attitudes, or behavior. In practice it is a Medicaid code. Medicare rarely pays for it, because population-level prevention falls outside a benefit built around medically necessary treatment. Two details decide whether the claim is paid and […]
HCPCS code E0165: Commode chair billing guide
HCPCS code E0165 is the Level II code for a commode chair, mobile or stationary, with detachable arms. Medicare pays it as durable medical equipment under Part B, and Local Coverage Determination L33736 decides whether it is covered. The coverage test turns on the home, not the diagnosis. L33736 asks where the toilet is and […]
HCPCS code A4433: urinary ostomy pouch billing guide
HCPCS code A4433 is the Medicare supply code for a urinary ostomy pouch that couples to a separate skin barrier with a locking flange. It covers the pouch half of a two-piece urostomy system, billed one unit per pouch. Medicare pays for it under the prosthetic device benefit and allows 20 pouches a month before […]
HCPCS Code C1784: Detached Retina Device Guide
HCPCS Code C1784 is a Level II HCPCS C-code for the ocular device used during detached retina repair. The surgical CPT code pays for the surgeon’s work, not the device. The facility reports the device on its own line instead. Only ambulatory surgical centers and hospital outpatient departments bill C1784. This reference covers the descriptor, […]
HCPCS code C1892: Peel-away introducer sheath billing guide
HCPCS code C1892 covers a fixed-curve, peel-away EP introducer sheath, billed only by hospital outpatient departments. Read the full billing rules.
HCPCS code J0636: Calcitriol injection billing guide
HCPCS code J0636 covers injection, calcitriol, 0.1 mcg, billed per unit under Medicare Part B and most commercial payers when the drug is physician-administered in an outpatient setting. This reference covers the code description, 2026 Medicare fee schedule, NDC crosswalk, covered ICD-10 diagnoses, required modifiers, and the buy-and-bill workflow for billing staff and clinicians. HCPCS […]
HCPCS code H0003: Alcohol and drug screening billing guide
HCPCS Code H0003 describes: Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs. It is a Level II HCPCS code maintained by the Centers for Medicare and Medicaid Services (CMS) and falls within the H-code series, which covers behavioral health and substance use disorder (SUD) services billed primarily to Medicaid […]