HCPCS code J0561: Penicillin G benzathine billing guide
J0561 is a HCPCS Level II code maintained by the Centers for Medicare and Medicaid Services (CMS). It represents one billable unit of 100,000 units of penicillin G benzathine, given by intramuscular injection. Unlike CPT codes, HCPCS J-codes pay for the drug rather than the act of administering it. Unit conversion is where J0561 claims […]
HCPCS Code E0243: Toilet rail billing guide
HCPCS code E0243 is the Level II code for a toilet rail, each. Medicare does not pay for it. A toilet rail is treated as a self-help item, which puts it outside the statutory definition of durable medical equipment. So the workflow is short. You quote the rail to the patient, submit any Medicare claim […]
HCPCS code B4220: Premix parenteral nutrition billing
B4220 covers one day of a premixed parenteral nutrition supply kit. Read more on Medicare coverage, the order that replaced the CMN, and the denial traps.
HCPCS Code E0310: Bed side rails, full length billing guide
E0310 covers full-length bed side rails. It’s payable only with a bed code that excludes rails, plus a signed SWO and NU, RR, or UE.
HCPCS code E0300: Pediatric crib, hospital grade, fully enclosed
HCPCS code E0300 covers a fully enclosed, hospital-grade pediatric crib. Medicare pays it as capped rental across 13 months.
HCPCS code B4216: Billing parenteral nutrition additives
A home parenteral nutrition claim can carry the right code, the right units, and the right price, and still come back rejected. HCPCS code B4216 draws more of those rejections than most B-series codes. The code itself is simple. B4216 pays for the vitamins, trace elements, heparin, and electrolytes added to a home mix bag, […]
HCPCS code B4162: Pediatric enteral formula billing guide
HCPCS code B4162 covers pediatric enteral formula for inherited metabolic disease, billed at 1 unit per 100 calories. Read more on coverage, orders, and units.
HCPCS Code V2100: Sphere, single vision lens billing guide (2026)
HCPCS Code V2100: Definition and clinical description HCPCS Code V2100 covers a sphere, single vision lens with a power from plano to plus or minus 4.00 diopters. It pays for the lens itself, not the eye exam, the refraction, or the frame. The unit is a single lens. A bilateral prescription is therefore 2 units […]
HCPCS Code E0291: Hospital bed, fixed height, without side rails
E0291 covers a fixed-height hospital bed with no side rails, no mattress. See coverage, capped rental modifiers, documentation.
HCPCS Code E0274: Over-bed table billing guide [year]
HCPCS code E0274 is the Level II code for an over-bed table, the tray table that swings across a hospital bed. Medicare does not pay for it. CMS policy article A52508 lists an over-bed table as noncovered because the item is not primarily medical in nature. That single line changes the whole billing workflow. You […]