HCPCS code E0202: Phototherapy (bilirubin) light with photometer
HCPCS code E0202 belongs to the E-series of HCPCS Level II codes, which covers durable medical equipment (DME). The official descriptor, as maintained by CMS, is E0202 – Phototherapy (bilirubin) light with photometer. The code captures one specific configuration: a phototherapy lamp used to treat elevated bilirubin levels in newborns, supplied together with a photometer […]
HCPCS code J0270: Alprazolam injection billing reference
HCPCS Code J0270 is a Medicare Part B injectable drug code used to bill alprazolam when administered by a clinician in an office or outpatient setting. Alprazolam is a mental health practice management staple: a short-acting benzodiazepine prescribed for anxiety disorders, panic disorder, and procedural sedation. The J0270 billing code allows practices to recover the […]
HCPCS code L1610: Knee orthosis billing, modifiers, and Medicare coverage
The official descriptor reads: Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise, off-the-shelf. Understanding this distinction between prefabricated, prefabricated-with-customization, and custom-fabricated is critical: L1610 is not custom-made. Different L-codes apply when a device is fabricated from […]
HCPCS code P9041: Blood product billing and documentation guide
Most billing teams encounter blood product codes only occasionally, which makes getting them wrong far more likely. HCPCS Code P9041 falls within the P-series of HCPCS Level II codes, the alphanumeric coding system maintained by the Centers for Medicare and Medicaid Services (CMS) that covers supplies, equipment, and non-physician services not captured by CPT. The […]
HCPCS code C1789: Implantable breast prosthesis billing guide
HCPCS code C1789 is the CMS device code for a prosthesis, breast (implantable). Hospital outpatient departments report it on the UB-04, where payment is packaged into the procedure APC.
HCPCS Code G0106: Colorectal cancer screening (deleted)
HCPCS Code G0106 covered colorectal cancer screening by barium enema, billed as an alternative to G0104. The Centers for Medicare and Medicaid Services (CMS) has deleted it from the HCPCS Level II code set. CMS maintains that code set for Medicare and Medicaid billing. Claims submitted with G0106 today deny immediately at the code-validation stage. […]
HCPCS Code G0159: Physical therapist home health billing guide
HCPCS Code G0159 covers a single service. A qualified physical therapist establishes or delivers a physical therapy maintenance program in the home health setting, and each unit is 15 minutes. It is narrower than the general home health PT visit code, and it has no hospice setting at all. Both of those limits are misstated […]
HCPCS Code G0128: CORF skilled nursing billing guide
G0128 pays RN skilled nursing in a CORF at the non-facility rate, billed per 10 minutes after the first 5.
HCPCS code A4207: Syringe with needle, sterile 2 cc, each
HCPCS code A4207 covers a sterile 2 cc syringe, billed per each unit. Check NCCI bundling before you bill it beside an injection code.
HCPCS Code C1766: Steerable EP Sheath Billing Guide
HCPCS Code C1766: full description and clinical overview HCPCS Code C1766 is a temporary Level II C-code for an introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away. It reports the steerable guiding sheath itself, not the electrophysiology procedure the sheath supports. The full long description for HCPCS Code C1766 is: Introducer/sheath, guiding, intracardiac electrophysiological, steerable, […]