HCPCS code H0034: Medication training billing guide
HCPCS code H0034 covers medication training and support, billed in 15-minute units. Behavioral health teams use it when a provider teaches a patient how to take a prescribed medication safely. Delivering the service is the easy part. Getting paid for it is where practices lose money. H0034 is time-based, so a note without clock times […]
HCPCS code H0009: Medicaid acute detox billing guide
H0009 covers acute inpatient detox for Medicaid, billed per diem. See what each billed day’s record must show, and how the UB-04 goes out. Read more inside.
HCPCS code G0293: Clinical trial billing guide
HCPCS code G0293 reports noncovered trial surgery under sedation or anesthesia, billed per day. Learn how it differs from G0294 and what your claim must carry.
HCPCS code G0283: Billing rules, modifiers, and 2026 rates
HCPCS code G0283 covers unattended electrical stimulation, delivered to one or more areas for indications other than wound care. It only applies as part of a therapy plan of care. The clinical side of that is simple. The billing side is where practices lose money. One modality carries two different codes, and the right one […]
HCPCS Code J2788: Rho D immune globulin minidose billing guide
HCPCS Code J2788 is the billable code for an injection of Rho(D) immune globulin, human, minidose, 50 micrograms (250 IU), given intramuscularly. It applies to Rh-negative patients who need Rh immunoprophylaxis after a first-trimester obstetric event. Three things decide whether a J2788 claim pays on first submission: The full 300 mcg dose is billed under […]
HCPCS Code J2560: Phenobarbital sodium injection billing guide
HCPCS Code J2560 is the Level II J-code for an injection of phenobarbital sodium, up to 120 mg. One unit covers any dose up to that ceiling, so a 200 mg dose is billed as 2 units. The claim also needs the 11-digit NDC for the exact product administered. Most J2560 denials come from two […]
HCPCS Code G0141: Screening Cytopathology Billing Guide
HCPCS Code G0141 covers a screening Pap smear, cervical or vaginal, that an automated system reads and a technologist manually rescreens. A physician then interprets the slide. It is a Medicare Level II G-code, so it belongs on Medicare Part B claims rather than commercial ones. All three steps have to be documented before the […]
HCPCS code J2407: Oritavancin (Orbactiv) billing guide
J2407 covers oritavancin per 10 mg, so a 1,200 mg Orbactiv dose bills as 120 units. Here’s what else the claim needs.
HCPCS Code G0109: Billing group diabetes training without denials
HCPCS Code G0109 covers diabetes outpatient self-management training, known as DSMT, delivered to a group of 2 or more Medicare beneficiaries. One unit equals one 30-minute increment of group instruction, billed to Medicare Part B. Coverage rests on three things. The program must hold ADA recognition or ADCES accreditation, a signed physician referral must be […]
HCPCS code G0027: Semen analysis billing guide
HCPCS code G0027: definition and official descriptor HCPCS code G0027 is an active HCPCS Level II G-code maintained by the Centers for Medicare and Medicaid Services (CMS). It covers semen analysis for the presence and/or motility of sperm. The descriptor carries one explicit exclusion, the Huhner test. For Medicare claims, submit CPT 89321 rather than […]