HCPCS code A4911: Drain bag/bottle for dialysis billing guide
HCPCS code A4911 covers a drain bag or bottle used for dialysis, billed one unit at a time. But the harder question is which entity Medicare pays for it. For a patient on Medicare-covered maintenance dialysis, A4911 is not a Part B DME claim at all. Instead, CMS bundles the drain bag into the dialysis […]
HCPCS Code A4601: Rechargeable Battery Billing Guide
HCPCS Code A4601 covers a rechargeable lithium ion battery supplied as a replacement for non-prosthetic durable medical equipment. It is a Level II supply code billed to the Medicare DME MACs, and speech generating devices are its best-documented application. This guide covers the official descriptor, coverage criteria, documentation requirements, and the look-alike codes that cause […]
HCPCS Code A4327: Female external urinary collection device
HCPCS Code A4327 covers a female external urinary collection device, meatal cup, each. It is a Level II supply code billed per unit under Medicare’s durable medical equipment (DME) benefit. Two errors cause most A4327 denials: a missing KX modifier and thin medical necessity notes. Both are process failures rather than coverage decisions. Below you […]
HCPCS code C1727: Balloon tissue dissector billing guide
C1727 is the HCPCS device code for a non-vascular balloon tissue dissector. Learn which claim form your setting uses and why packaging status decides payment.
HCPCS code C1720: Deleted, bill C2640 or C2641 instead
HCPCS code C1720 described a brachytherapy source, palladium-103, per source. CMS deleted it on July 1, 2007, so it pays nothing today. The seeds themselves are still payable. CMS split that one isotope-only code into two configuration-specific codes, C2640 and C2641. Which one belongs on the claim comes down to a single line in the […]
HCPCS code B9002: Enteral nutrition pump billing guide
HCPCS code B9002 is the Level II code for an enteral nutrition infusion pump, any type. One code covers the whole category, portable or stationary. Suppliers bill it to a Medicare equipment contractor, almost always as a monthly rental. The code is simple. What sits behind it decides whether you get paid. Enteral pump claims […]
HCPCS code G0279: Diagnostic digital breast tomosynthesis billing guide
HCPCS code G0279 is the Medicare add-on code for diagnostic digital breast tomosynthesis, also called 3D mammography. It covers the tomosynthesis component of a diagnostic study, whether the radiologist images one breast or both. As an add-on code, it only exists next to a primary procedure. Submitted on its own, it rejects. G0279 sits in […]
HCPCS code C1785: Dual chamber pacemaker billing and fee schedule
HCPCS code C1785 is the CMS Level II device code for a pacemaker, dual chamber, rate-responsive (implantable). The facility reports it on the UB-04 institutional claim, paired with revenue code 0636. The implanting cardiologist bills the procedure separately on a CMS-1500. This reference covers the CMS descriptor, Medicare payment treatment, the ICD-10-CM crosswalk, and the […]
HCPCS code E0154: Platform attachment, walker, each
E0154 covers a walker forearm platform, billed per unit. Get the SWO rules, coverage criteria, and the denials that catch DMEPOS suppliers.
HCPCS Code H1011: Family assessment by licensed behavioral health professional
HCPCS Code H1011 covers a family assessment performed by a licensed behavioral health professional for state-defined purposes. It closes the HCPCS Level II range H1000 to H1011, which covers prenatal care and family planning assessment. It is billed to state Medicaid programs, never to Medicare. Other mental health and community support services sit in a […]