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HCPCS code L0642: Lumbar orthosis, sagittal control, prefabricated off-the-shelf

Hcpcs code L0642

HCPCS code L0642 is the billing code for a prefabricated, off-the-shelf lumbar orthosis with sagittal control and rigid anterior and posterior panels, covered under Medicare Part B when the documentation supports medical necessity under LCD L33790. This reference guide covers the L0642 code description, Medicare coverage criteria under LCD L33790, documentation requirements, modifier rules, ICD-10 […]

HCPCS code L1845: Knee orthosis double upright billing guide

Hcpcs code L1845

The full official description of HCPCS code L1845 is: Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual […]

HCPCS code J2350: Injection, ocrelizumab, 1 mg (Ocrevus billing guide)

Hcpcs code J2350

HCPCS Code J2350 has the official descriptor: Injection, ocrelizumab, 1 mg. It was added to the HCPCS Level II code set maintained by CMS, effective January 1, 2018. Ocrevus itself received FDA approval on March 28, 2017 and was billed under temporary codes until the permanent J2350 code took effect. The code falls under the […]

HCPCS code J9173: Billing guide for durvalumab (Imfinzi)

HCPCS code J9173 is the permanent Level II code for Injection, durvalumab, 10 mg — the checkpoint inhibitor sold under the brand name Imfinzi. One billable unit equals 10 mg of drug; a 1,500 mg dose requires 150 units on the claim line. J9173 is maintained by the Centers for Medicare and Medicaid Services (CMS) […]

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