HCPCS code C1776: Implantable joint device billing guide
HCPCS code C1776 covers a joint device (implantable). CMS defines that as an artificial joint, such as a finger or toe implant, placed in a patient. On its own, the code pays nothing. Drop it from a device-intensive claim anyway, and the whole claim comes back unpaid. Three things decide the outcome: the setting you […]
HCPCS Code E0112: Wooden underarm crutches billing guide
HCPCS Code E0112: the official descriptor HCPCS Code E0112 covers crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips. In practice, it sits in the Level II durable medical equipment series, and one billable unit means two crutches. Indeed, the wording comes from the CMS HCPCS Level II code set, and every […]
HCPCS Code C1732: Electrophysiology catheter billing guide
What HCPCS Code C1732 covers HCPCS Code C1732 covers a catheter, electrophysiology, diagnostic/ablation, 3D or vector mapping. The facility reports it to capture the cost of the mapping catheter used during a cardiac ablation or an electrophysiology study. C1732 is a Healthcare Common Procedure Coding System (HCPCS) Level II code maintained by the Centers for […]
HCPCS code B4104: additive for enteral formula
HCPCS code B4104 (additive for enteral formula, e.g., fiber) is a live code that Medicare will not pay on its own. The DME MACs deny it as not separately payable. The enteral formula codes already cover fiber and every other nutrient component, so nothing is left to pay for. As a result, that one rule […]
HCPCS code A4404: Ostomy ring coverage and billing guide
HCPCS code A4404 pays for one ostomy ring. An ostomy ring is the moldable hydrocolloid seal that fits around the stoma, underneath the skin barrier. Medicare covers it under the prosthetic device benefit, and the usual monthly maximum is 10 rings. This guide covers the official descriptor and the coverage rules in LCD L33828, Ostomy […]
HCPCS code C1773: Insertable retrieval device billing guide
HCPCS code C1773 covers an insertable device used to retrieve fractured hardware. Read more on OPPS payment, documentation, and the codes it is confused with.
HCPCS code C1760: Vascular closure device billing guide
HCPCS code C1760 describes a closure device, vascular (implantable/insertable). Facilities report it after a catheter-based procedure, when a plug, clip, or suture device seals the arterial puncture site. The code is short. Billing it is where practices come unstuck. C1760 sits on the facility claim rather than the surgeon’s, and its payment status can shift […]
HCPCS code E0370: Air pressure elevator for heel billing guide
HCPCS code E0370 is an air pressure elevator for heel. See why it has no LCD or fee schedule amount, and how to bill it.
HCPCS code C1756: Transesophageal pacing catheter
HCPCS code C1756 is the Medicare device code for a transesophageal pacing catheter. That is an electrode catheter passed into the esophagus to pace the heart for a short period. Hospital outpatient departments report it on the UB-04 under the Outpatient Prospective Payment System (OPPS). Look the code up online, though, and you may meet […]
HCPCS Code G0118: Glaucoma screening billing guide
G0118 covers glaucoma screening under supervision for high-risk Medicare patients. Pair it with Z13.5, and expect patient coinsurance.