HCPCS code P9021: Red blood cells, each unit
HCPCS code P9021 describes “red blood cells, each unit.” It is a HCPCS Level II supply code in the P-series, which covers blood and blood products from P9010 through P9099. CMS maintains the code through the annual HCPCS Level II update cycle. The unit of service is one unit of red blood cells administered. A […]
HCPCS code H2033: Multisystemic therapy for juveniles billing guide
HCPCS code H2033 is the HCPCS Level II code for multisystemic therapy (MST) for juveniles, billed per 15 minutes. Each unit covers 15 minutes of direct MST service time. H-codes cover mental health and substance use services that CPT codes describe poorly. CMS maintains the code set, but each state Medicaid program sets its own […]
HCPCS code L0622: Sacroiliac orthosis, custom fabricated
HCPCS code L0622 is a Level II code for a flexible, custom fabricated sacroiliac orthosis. It sits in the DMEPOS category, which covers durable medical equipment, prosthetics, orthotics, and supplies. The code is maintained by the Centers for Medicare and Medicaid Services (CMS). The full official descriptor reads: Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, […]
HCPCS code J0800: Corticotropin injection billing guide
HCPCS code J0800 carried the official description “injection, corticotropin, up to 40 units.” It was the Level II J-code used to bill corticotropin (adrenocorticotropic hormone, or ACTH) given by injection in a physician office or outpatient setting. CMS deleted it effective September 30, 2023. The replacement is not a single code. On October 1, 2023, […]
HCPCS Code J1450: Injection fluconazole, 200 mg billing guide
HCPCS Code J1450 is the billing code for injection, fluconazole, 200 mg. It pays for the drug itself when fluconazole is infused intravenously, and the infusion service is billed separately. Three details decide whether the line clears. Those are the NDC your payer expects, the waste modifier on the claim, and units that match the […]
HCPCS code E0371: Prior authorization and billing guide
HCPCS code E0371 pays for a nonpowered advanced pressure reducing overlay that sits on a standard mattress. Medicare decides this one before the overlay reaches the patient, because prior authorization is mandatory ahead of delivery. That sequence catches suppliers out. E0371 has sat on the required prior authorization list nationwide since October 2019. No affirmed […]
HCPCS Code J1562: Injection, immune globulin (Vivaglobin), 100 mg
J1562 is deleted. Seven product-specific codes now cover subcutaneous immune globulin, and the right one depends on the brand given.
HCPCS code V5200: Dispensing fee, contralateral, monaural
HCPCS code V5200 is the dispensing fee for a contralateral, monaural hearing instrument, the device most people call a CROS hearing aid. It pays for the professional work of fitting that device, not for the device itself. Traditional Medicare does not cover it, which makes payer verification the first step rather than the last. This […]
HCPCS code V5140: binaural, behind the ear hearing aid guide
HCPCS code V5140 is the Level II code for a binaural, behind the ear hearing aid. Two behind-the-ear devices are dispensed together, one fitting each ear. CMS maintains the code, and traditional Medicare Part B attaches no payment to it. That last point decides most V5140 claims. Whether you get paid depends far more on […]
HCPCS Code P9071: Pathogen reduced plasma billing guide
HCPCS Code P9071 is the billable code for plasma (single donor), pathogen reduced, frozen, each unit. Hospital outpatient departments and licensed blood banks report it once for every unit of that product transfused. Getting P9071 right comes down to matching the code to the product the blood bank issued. Single donor, pathogen reduced, and frozen […]