HCPCS code J2501: Paricalcitol injection billing guide
J2501 bills injection, paricalcitol, 1 mcg at one unit per mcg. Medicare pays ASP+6%, and dialysis doses usually sit in the ESRD bundle.
HCPCS Code E0326: Female jug-type urinal billing guide
HCPCS Code E0326: Definition and code status HCPCS Code E0326 is an active, billable HCPCS Level II code for a jug-type urinal designed for female patients. The descriptor covers the item in any material. The code sits in the E-series of HCPCS Level II, which covers durable medical equipment (DME). DME means items that serve […]
HCPCS Code J2720: Protamine sulfate billing guide
J2720 bills protamine sulfate per 10 mg, so a 50 mg dose is 5 units. Medicaid claims also need the NDC from the vial used.
HCPCS code G0269: Occlusive device placement billing guide
HCPCS code G0269 covers the occlusive device that closes a vascular access site once the catheter or sheath comes out. The Angioseal plug after a cardiac cath is the classic example. The billing side is where the time goes. Medicare assigns the code status indicator B, which means payment always folds into the procedure the […]
HCPCS code G0247: How to bill routine foot care for LOPS
HCPCS code G0247 covers routine foot care for a diabetic patient with loss of protective sensation, known as LOPS. Medicare accepts G0247 only when the evaluation code it belongs with, G0245 or G0246, sits on the same claim and date of service. Everything below follows the CMS Medicare Claims Processing Manual, Publication 100-04, Chapter 32, […]
HCPCS Code J1950: Leuprolide acetate injection billing guide
J1950 bills leuprolide depot per 3.75 mg, so 11.25 mg is 3 units. Prostate cancer doses belong to J9217, and Fensolvi to J1951.
HCPCS code T2019: Habilitation, supported employment, waiver per 15 minutes
HCPCS code T2019 covers habilitation, supported employment, waiver, billed per 15 minutes. It sits in the T-code series within HCPCS Level II. That code set is maintained by the Centers for Medicare and Medicaid Services (CMS) for services CPT does not cover. T-codes exist for Medicaid billing only, so Medicare and commercial payers never accept […]
HCPCS code L1010: Axilla sling billing guide
HCPCS code L1010 covers the axilla sling, an addition to a cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis. It sits in HCPCS Level II, maintained by the Centers for Medicare and Medicaid Services (CMS), in the orthotic procedures and devices range. L1010 is an addition code, so it describes one component fitted to a primary brace […]
HCPCS code S0177: Levamisole 50 mg billing, coverage and fee schedule
HCPCS code S0177 is an HCPCS Level II billing code with the official descriptor Levamisole hydrochloride, oral, 50 mg. It sits in the S-series (S0100 to S9999), the temporary codes used by Medicaid programs and commercial payers. One unit of service is one 50 mg oral dose. S-codes are approved by the HCPCS National Panel […]
HCPCS code J0881: Darbepoetin alfa (Aranesp) billing guide
HCPCS code J0881 describes the injection of darbepoetin alfa at a rate of 1 microgram per billing unit, for non-end-stage renal disease (non-ESRD) use. The code sits in the HCPCS Level II J-code series. CMS maintains that series for drugs and biologicals given in outpatient and physician office settings. Darbepoetin alfa is marketed as Aranesp […]