HCPCS code Q4131: Epifix or Epicord, now Q4186/Q4187
Type “HCPCS code Q4131” into a search bar today, and you’ll be looking up a code that stopped working years ago. Q4131 used to cover Epifix or Epicord, two MiMedx skin grafts, billed per square centimeter of wound coverage. Medicare retired it on January 1, 2019, splitting it into two separate codes: Q4186 for Epifix […]
HCPCS code E1390: Single-port oxygen concentrator billing guide
A denied E1390 claim rarely comes down to the wrong code. It usually comes down to the paperwork behind it, an outdated form or the wrong modifier. Sometimes it’s a qualifying test that never made it into the file. HCPCS code E1390 covers an oxygen concentrator with a single delivery port. It delivers 85 percent […]
HCPCS code G0442: Medicare alcohol misuse screening guide
HCPCS code G0442 pays for an annual alcohol misuse screening under Medicare Part B. It takes 5 to 15 minutes, and Medicare covers it in full, with no deductible or copay. That simplicity is exactly what trips practices up. Coders bill the wrong ICD-10 code, skip the place-of-service field, or mix G0442 up with its […]
HCPCS Code A4483: Moisture exchanger — invasive mechanical ventilation
HCPCS Code A4483 is the billing code for a moisture exchanger, disposable, for use with invasive mechanical ventilation. In practice, providers use this HCPCS Level II DME supply code for the heat and moisture exchangers they dispense to tracheostomized or intubated patients on invasive ventilation, usually every month alongside a valid Standard Written Order. Missing […]
HCPCS Code A4580: Cast supplies (plaster) billing guide
HCPCS Code A4580 covers cast supplies made of plaster, but it is not payable under Medicare. The Centers for Medicare & Medicaid Services (CMS) invalidated A4580 for Medicare use in 2001, yet it still turns up in billing references and software dropdowns as though it belongs on a Medicare DME claim. Practice management software like […]
HCPCS Code A4467: Belt, strap, sleeve, garment, or covering
HCPCS Code A4467 is the correct HCPCS Level II billing code for prefabricated belts, straps, sleeves, garments, and coverings supplied to patients under a Medicare or commercial payer plan. The code’s “any type” language covers a wide range of prefabricated items, but payers apply medical necessity criteria that vary by jurisdiction and product category. DME […]
HCPCS code K0005: Ultralightweight wheelchair billing guide
HCPCS code K0005 is Medicare’s billing code for an ultralightweight manual wheelchair: a frame under 30 pounds with an adjustable rear axle position, billed under Part B as durable medical equipment (DME). Most K0005 denials come down to paperwork, not the chair itself. DME suppliers and billers who understand the exact documentation Medicare requires, including […]
HCPCS code G2211: Visit complexity billing guide 2026
HCPCS code G2211: Definition, eligibility, and billing guidelines HCPCS code G2211 became effective January 1, 2024, after Congress delayed its original 2021 implementation date through a three-year moratorium in the Consolidated Appropriations Act, 2021. Practices that document correctly and understand the eligibility rules are capturing an additional amount per qualifying visit, currently around $16. Those […]
HCPCS code A4638: Ear pulse generator battery billing guide
HCPCS code A4638 covers the replacement battery for a patient-owned ear pulse generator, billed as a Miscellaneous Durable Medical Equipment (DME) accessory under Medicare Part B. The generator itself bills separately under HCPCS code E2120; A4638 covers only the replacement battery. The code carries a By Report (BR) pricing indicator, so there is no fixed […]
HCPCS Code A4456: Adhesive remover wipes, any type, each
HCPCS Code A4456 is maintained by CMS (the Centers for Medicare & Medicaid Services) as a Level II HCPCS code. The official long description is: “Adhesive remover, wipes, any type, each.” The code falls within the A-series of HCPCS Level II, which covers medical and surgical supplies — including durable medical equipment (DME) accessories and […]