HCPCS code B4087: Gastrostomy/jejunostomy tube billing guide
HCPCS code B4087 is the billing code for a standard gastrostomy or jejunostomy tube under the CMS HCPCS Level II coding system. It sits within the Enteral and Parenteral Therapy supply category (B4000-B9999) and is processed by the Durable Medical Equipment Medicare Administrative Contractors (DME MACs). The code’s official long description is: Gastrostomy/jejunostomy tube, standard, […]
HCPCS code E0130: Walker, rigid (pickup), adjustable or fixed height
HCPCS code E0130 is used for billing a walker, rigid (pickup), adjustable or fixed height, under Medicare Part B and most Medicaid programs. This reference covers the official code descriptor, 2026 Medicare fee schedule context, coverage criteria, modifier requirements, supporting ICD-10 codes, and how E0130 compares to related walker codes. Rigid pickup walker claims are […]
HCPCS code G0145: Screening cytopathology, cervical or vaginal, thin-layer
HCPCS code G0145 is a Healthcare Common Procedure Coding System (HCPCS) Level II code maintained by the Centers for Medicare and Medicaid Services, or CMS. It describes screening cytopathology, cervical or vaginal, collected in preservative fluid, automated thin-layer preparation, with automated system screening and manual rescreening under physician supervision. For OB/GYN practice management software users, […]
HCPCS code B4105: In-line cartridge digestive enzymes billing guide
HCPCS code B4105 describes one in-line cartridge containing digestive enzymes, used within an enteral feeding system and billed under HCPCS Level II. It’s a DMEPOS supply reimbursed through Medicare Part B, covered under CMS Policy Article A58833 and the applicable DME MAC’s Local Coverage Determination (LCD). This guide covers the code’s definition, Medicare coverage rules, […]
HCPCS code A4358: Urinary drainage bag billing guide
HCPCS code A4358 is the vinyl urinary leg or abdomen drainage bag, with the tube and straps built into the same code. It’s a routine DME billing code, but three things trip suppliers up every month: an outdated descriptor, a quantity limit that gets misquoted, and a modifier applied out of habit instead of documentation. […]
HCPCS Code B4157: Enteral formula for inherited metabolic disorders
HCPCS Code B4157 is the Medicare billing code for an enteral formula that is nutritionally complete and formulated for special metabolic needs caused specifically by an inherited disease of metabolism — conditions like phenylketonuria (PKU), maple syrup urine disease (MSUD), and urea cycle disorders. Medical documentation practices must establish that exact diagnosis before a B4157 […]
HCPCS Code A4931: Oral thermometer, reusable, any type, each
HCPCS Code A4931 describes an oral thermometer, reusable, of any type, billed per each unit. According to the Centers for Medicare and Medicaid Services (CMS) HCPCS Level II coding system, CMS places the code within the “Dialysis Equipment and Supplies” section of the HCPCS Level II A-code range (A4653-A4932), not the general open-market DME supply […]
HCPCS Code A4918: Venous pressure clamp for hemodialysis
HCPCS Code A4918 describes a venous pressure clamp for hemodialysis, billed per unit under HCPCS Level II. Dialysis facilities and DME suppliers use it to bill for this specific hemodialysis supply, and most denials trace back to a missing modifier or an undocumented order rather than the code itself. This reference covers the official descriptor, […]
HCPCS Code P9043: Plasma protein fraction billing guide
HCPCS Code P9043 covers a single infusion of plasma protein fraction (human), 5%, in a 50 ml unit – a Level II HCPCS blood product code billed by infusion centers and hospital outpatient departments. Claim denials for this code cluster around two recurring mistakes: missing medical necessity documentation and incorrectly reported units of service. This […]
HCPCS Code B4153: Billing guide for hydrolyzed enteral formula
HCPCS Code B4153 is a billable code for enteral formula that is nutritionally complete and made from hydrolyzed, or pre-digested, proteins, billed at 100 calories per unit. Suppliers and medical billers use it for patients whose gastrointestinal tracts cannot absorb intact protein from a standard polymeric formula. This guide covers B4153 in full: the official […]