HCPCS code J1940: Furosemide injection billing guide
HCPCS code J1940 was the billing code for Injection, furosemide, up to 20 mg — the loop diuretic given by IV or IM injection for edema, heart failure, and related conditions. CMS deleted the code from the active HCPCS set, and any claim still using it is denied automatically. For most generic furosemide injections, J1938 […]
HCPCS code S9485: Crisis intervention mental health services, per diem
HCPCS Code S9485 is a Level II HCPCS code that bills crisis intervention mental health services on a per diem basis: one unit covers all covered crisis care delivered to a member in a single calendar day, regardless of how many clinicians were involved or how many hours of contact occurred. According to an ASPE/HHS […]
HCPCS code G0483: Definitive drug testing for 22+ drug classes
HCPCS code G0483 is a billable HCPCS Level II code covering definitive drug testing for 22 or more drug classes per date of service, using GC/MS or LC/MS methodology with stable isotope internal standards in every sample. It tops the CMS G0477-G0483 series and carries the highest Medicare Part B reimbursement. This guide covers the […]
HCPCS code B4034: Enteral feeding supply kit, syringe fed, per day
HCPCS code B4034 is the DMEPOS supply allowance for syringe-fed enteral nutrition, billed once per day rather than as a defined kit. Per CMS’s HCPCS guidelines, the items it covers can vary from patient to patient and from day to day. This guide covers the official descriptor, what the daily allowance includes, Medicare coverage requirements, […]
HCPCS code J1750: Iron dextran injection billing guide
HCPCS code J1750 describes Injection, iron dextran, 50 mg — billed per 50 mg increment of iron dextran administered. The brand name most consistently mapped to this code is INFeD, manufactured by American Regent, used to treat iron deficiency anemia when oral iron therapy isn’t appropriate or has failed. This guide covers unit calculation, Medicare […]
HCPCS code Q4104: Integra bilayer matrix wound dressing billing guide
HCPCS code Q4104 is the add-on code for Integra Bilayer Matrix Wound Dressing (BMWD), a skin substitute manufactured by Integra Lifesciences and billed per square centimeter of product applied to a wound. It’s one of the most frequently billed cellular and tissue-based product (CTP) codes in wound care. This guide covers the code descriptor, add-on […]
HCPCS Code A4262: Temporary, absorbable lacrimal duct implant
HCPCS Code A4262: definition and clinical description HCPCS Code A4262 captures a supply that most dry eye patients never see but frequently depend on: a temporary, absorbable lacrimal duct implant inserted into the punctum to slow tear drainage and relieve ocular surface dryness. Claims billed without the right supporting documentation are among the most common […]
HCPCS Code A4335: Incontinence supply
DME suppliers billing incontinence supplies face one of the highest incorrect coding rates in Medicare’s HCPCS system. A CMS-supported analysis by multiple Medicare Administrative Contractors (MACs) found that 93% of claim lines submitted under HCPCS Code A4335 were incorrectly coded, largely because billers reached for the miscellaneous code before checking whether a specific HCPCS code […]
HCPCS Code J0690: Injection, cefazolin sodium, 500 mg
HCPCS Code J0690 is the billing code for injection, cefazolin sodium, 500 mg. It covers each 500 mg of cefazolin given by IV or IM injection, and it’s one of the highest-volume J-codes in surgical and outpatient infusion billing. The Centers for Medicare and Medicaid Services (CMS) maintains HCPCS Code J0690 under HCPCS Level II, […]
HCPCS Code J9202: Goserelin acetate implant billing guide
Billing errors on hormonal therapy drugs cost oncology and urology practices thousands of dollars per year in denied claims. For goserelin acetate, the mistake usually happens before the claim is even submitted: the wrong dose, the wrong modifier. HCPCS Code J9202 covers the 3.6 mg monthly implant only. This guide covers code properties, covered ICD-10 […]