HCPCS code J0894: billing guide for decitabine injection
HCPCS Code J0894 bills for Injection, decitabine, 1 mg – Dacogen, an intravenous antimetabolite chemotherapy used to treat myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). Medicare covers it under Part B at ASP plus 6%, billed per milligram, with a JW or JZ modifier reporting any single-dose vial waste. Getting HCPCS Code J0894 wrong […]
HCPCS code L1906: Ankle foot orthosis billing guide
L1906 is the HCPCS Level II code for: Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf. It’s often described simply as an ankle brace in clinical notes and patient paperwork. The code itself is specific, the PDAC verification requirement is fixed, and Medicare’s coverage criteria under LCD L33686 leave little room for interpretation. Denials for […]
HCPCS code E0673: Understanding pneumatic appliances
HCPCS code E0673 bills the appliance for a segmental gradient pressure pneumatic device covering the half leg, used with a non-segmented E0650 compressor to treat lymphedema and chronic venous insufficiency. It codes the sleeve only, not the compressor, and Medicare coverage follows LCD L33829. Most claim denials for pneumatic compression appliances come down to one […]
HCPCS code E0748: Spinal osteogenesis stimulator billing (2026)
E0748 covers a non-invasive spinal osteogenesis stimulator. As of May 18, 2026, it’s billed as Class II, with no KF modifier.
HCPCS code J1306: Inclisiran 1 mg billing guide
J1306 bills inclisiran (Leqvio) at 1 mg per unit: submit 284 units per 284 mg dose with prior authorization and a JZ modifier.
HCPCS code G0202: Screening mammography, bilateral
HCPCS Code G0202: definition and code descriptor Most billing denials for mammography claims trace back to one source: using a code that no longer exists. HCPCS Code G0202 was a Level II Healthcare Common Procedure Coding System code maintained by the Centers for Medicare and Medicaid Services (CMS). Its official descriptor read: Screening mammography, bilateral […]
HCPCS code A4211: supplies for self-administered injections
HCPCS code A4211 is a Level II catch-all code for miscellaneous supplies used in home self-administered injections, within the A4206-A4232 range. Bill it only when no more specific code applies. Most claims route to the DME MAC; supplies furnished incident to an office visit are bundled and not separately payable. HCPCS code A4211: definition and […]
HCPCS code J8499: Non-chemo oral drug, unspecified
HCPCS code J8499 is the billing code for a prescription drug that is oral, non-chemotherapeutic, and not otherwise specified by a more specific J-code. Effective since January 1, 1997, it is non-covered by Medicare (Coverage Code M) and requires a National Drug Code (NDC) on commercial and Medicaid claims. HCPCS Code J8499: definition and clinical […]
HCPCS code E2607: Skin protection and positioning wheelchair cushion
HCPCS code E2607 describes a skin protection and positioning wheelchair seat cushion with a width of less than 22 inches, any depth. Submitted to Medicare Part B under the DMEPOS category for wheelchair seating, it covers cushions that serve a dual function: reducing tissue breakdown risk and correcting or accommodating postural asymmetries. When either function […]
HCPCS code J9299: Injection, nivolumab, 1 mg billing guide
HCPCS code J9299 is the billable Level II code for injection, nivolumab, 1 mg (Opdivo), a PD-1 checkpoint inhibitor given intravenously in oncology infusion settings. Report one unit per milligram administered, pair it with an administration CPT such as 96413, and append a JW or JZ modifier on every Medicare claim. This guide covers every […]