HCPCS Code C1875: Coated stent billing and packaging
HCPCS Code C1875 covers a coated or covered stent supplied without its delivery system. Hospital outpatient departments and ambulatory surgical centers report it. Under the Medicare Outpatient Prospective Payment System (OPPS), the code pays nothing on its own. The device cost is packaged into the payment for the procedure that placed the stent. This guide […]
HCPCS Code A4490: Surgical stockings above knee length
HCPCS code A4490 is the Level II supply code for one above-knee surgical stocking. The descriptor reads “Surgical stockings above knee length, each”, so one stocking equals one unit. DME suppliers bill it under a written physician order, often for venous insufficiency or post-surgical edema. One detail changes how the whole claim is handled. Medicare […]
HCPCS code A4426: Ostomy pouch billing and fee schedule
HCPCS code A4426 describes a drainable ostomy pouch made for a barrier with a locking flange in a 2-piece system. Its unit of service is each, so 20 pouches means 20 units on the claim. Billers who treat the code as a box of 10, for instance, understate every claim they send. In short, two […]
HCPCS code G0152: Home health occupational therapy billing
HCPCS code G0152 covers occupational therapy delivered by a qualified occupational therapist in a home health or hospice setting. One unit equals 15 minutes of treatment time. G0152 rarely generates a payment on its own. Medicare pays home health by the 30-day period of care, so the code mostly reports what happened during the visit. […]
HCPCS code G0127: Trimming of dystrophic nails billing guide
G0127 pays about $24, but only when a systemic condition is documented and the Q modifier matches the class findings. Read more before you bill.
HCPCS code G0127: Trimming of dystrophic nails billing guide
HCPCS code G0127 covers the trimming of dystrophic nails, any number, on a Medicare patient. It sits in the HCPCS Level II set that CMS maintains, and no private payer recognizes it. The service itself takes minutes. The coverage rules behind it are what cost practices money. Medicare excludes routine foot care by default, so […]
HCPCS Code J9267: Injection, paclitaxel, 1 mg billing guide
HCPCS Code J9267 is the Level II code for conventional paclitaxel, billed at 1 mg per unit. It pays for the drug, while a separate administration code pays for the infusion time. Paclitaxel claims fail for a small set of repeatable reasons. Units get taken from the vial size instead of the dose. The NDC […]
HCPCS code G0123: Cervical cytology screening billing guide
HCPCS code G0123 is Medicare’s code for a liquid-based screening Pap test read by a cytotechnologist. The descriptor is short. Its coverage rules are not, and that is where practices lose money. Most denials come down to three things. The claim lands inside the frequency window, the collection code is missing, or the diagnosis doesn’t […]
HCPCS code K0455: Infusion pump for parenteral medication
HCPCS code K0455 is the billable code for an infusion pump used for uninterrupted parenteral administration of medication, such as epoprostenol or treprostinil. Suppliers bill it to Medicare Part B as durable medical equipment. Most claims cover pulmonary arterial hypertension patients on continuous prostacyclin therapy. K codes are temporary HCPCS Level II codes maintained by […]
HCPCS code G0108: Diabetes self-management training billing guide
HCPCS code G0108 pays for 30 minutes of individual diabetes self-management training, or DSMT. On paper, it is a simple time-based code. In practice, most G0108 denials have nothing to do with the session itself. They trace back to a referral that arrived a day late, or an accreditation certificate that quietly expired. Sometimes it […]