HCPCS code H0028: Alcohol and drug prevention billing guide
H0028 covers prevention, problem identification, and referral but excludes assessment. Medicaid pays it, Medicare generally does not.
HCPCS Code H0023: Behavioral health outreach billing guide
HCPCS Code H0023 covers behavioral health outreach services delivered through a planned approach to reach a targeted population. It is a Medicaid-primary code, so state payers set the rules on who can bill it and what the record has to contain. The most common reason an H0023 claim fails is a missing outreach plan. This […]
HCPCS code G0166: External Counterpulsation Billing Guide
HCPCS code G0166 reports external counterpulsation, per treatment session. It is the code Medicare Part B requires for enhanced external counterpulsation (EECP) therapy, billed one unit per session. No CPT code substitutes for it. Two facts shape everything else. Coverage runs through National Coverage Determination (NCD) 20.20, and the code pays at the non-facility rate […]
HCPCS Code E0153: Platform attachment, forearm crutch, each
HCPCS Code E0153 is the Level II code for a platform attachment fitted to a forearm crutch. It is billed per attachment, so a patient using two crutches generates two units. Medicare Part B pays it as durable medical equipment when the supplier documents why the patient cannot grip a standard handle. This reference covers […]
HCPCS Code C1758: Catheter, ureteral billing guide
What C1758 is and how it is classified HCPCS Code C1758 is a HCPCS Level II C-code with the official descriptor “Catheter, ureteral.” It reports the ureteral catheter used during a urological procedure in a hospital outpatient department or an ambulatory surgery center. The Centers for Medicare and Medicaid Services (CMS) maintains C1758 as part […]
HCPCS code A4649: Surgical supply, miscellaneous
HCPCS code A4649 is the miscellaneous code for a surgical supply that no other HCPCS Level II code describes. Its full descriptor is Surgical supply; miscellaneous. Medicare treats it as a last-resort code and pays only when the record shows medical necessity and a completed code search. Three things decide whether an A4649 claim is […]
HCPCS Code A7033: Nasal pillow replacement billing guide 2026
A7033 bills replacement nasal pillows per pair, not per pillow. Medicare allows two pairs a month, with strict refill dates.
HCPCS Code S2068: DIEP flap billing, modifiers, and payer coverage
HCPCS Code S2068 reports unilateral breast reconstruction with a deep inferior epigastric perforator (DIEP) flap or a superficial inferior epigastric artery (SIEA) flap. It is an HCPCS Level II S-code, not a CPT code. Medicare will not pay it under any circumstances. That leaves Medicaid programs and commercial payers, where S2068 is the standard way […]
HCPCS code C1815: Urinary sphincter prosthesis billing guide
HCPCS code C1815 covers the implantable urinary sphincter. Read more on OPPS status indicators, the CPT crosswalk, and ICD-10 linkage.
HCPCS code C1814: Retinal tamponade device billing guide
HCPCS code C1814 reports a retinal tamponade device made of silicone oil. It describes a device, not a procedure, and that single distinction shapes almost everything about the claim. The oil itself is simple. Billing it is where outpatient teams lose money. The code works in two settings only, it never travels alone, and the […]