HCPCS code E0244: Raised toilet seat billing guide
Key Takeaways HCPCS code E0244 describes a raised toilet seat, classified under the E0240-E0249 Bathing Supplies DME range. Medicare does not cover E0244; suppliers must append the GY modifier and issue an ABN when billing Medicare. Medi-Cal limits E0244 to once every five years; MassHealth accepts modifiers NU and UD with this code. Pabau’s claims […]
HCPCS code G8918: No pre-op IV antibiotic SSI prophylaxis order
HCPCS Code G8918 is a non-billable quality measure code reporting that a patient had no preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis. Used under the CMS Ambulatory Surgical Center Quality Reporting Program (ASC-5 measure), it carries no reimbursement and signals a performance gap. HCPCS Code G8918: definition and clinical description Most ASC […]
HCPCS code E2622: Skin protection wheelchair seat cushion billing guide
HCPCS Code E2622 is the billing code for an adjustable skin protection wheelchair seat cushion less than 22 inches wide, supplied as durable medical equipment (DME) under Medicare Part B. Medicare covers it under LCD L33312, and the cushion must be PDAC-verified as adjustable before it can be billed. This guide covers the E2622 definition, […]
HCPCS code G9903: Tobacco non-user screening and MIPS reporting
HCPCS code G9903 is the billing code used when a provider screens a patient for tobacco use and identifies that patient as a tobacco non-user. It is a quality reporting code submitted under the Quality Payment Program (QPP) for MIPS Measure 226, not a traditional fee-for-service procedure. Accurate claims management software that handles quality measure […]
HCPCS code J7999: Compounded drug, not otherwise classified
HCPCS Code J7999 is a billable code for a compounded drug, not otherwise classified – a medication custom-prepared by a pharmacy that has no specific HCPCS J-code and no National Drug Code (NDC). It was added to the HCPCS Level II code set on January 1, 2016, and carries Coverage Code D, meaning special coverage […]
HCPCS code C1781: Mesh (implantable) billing guide
HCPCS code C1781 describes Mesh (implantable) and is reported by facilities — hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) — when an implantable mesh device is used during a covered surgical procedure. It belongs on the facility side of the claim, not the physician’s professional claim. The code applies to synthetic polypropylene mesh, […]
HCPCS code E0570: Nebulizer, with compressor billing guide
HCPCS code E0570 is the durable medical equipment (DME) code for a nebulizer, with compressor, a device that turns liquid medication into an aerosol mist for respiratory patients. Medicare Part B covers it as a capped rental tied to an FDA-approved inhalation drug, using KH, KI, and KJ modifiers across the 13-month rental period. This […]
HCPCS code E0241: Bath tub wall rail billing guide 2026
E0241 covers a bath tub wall rail (each). Original Medicare treats it as statutorily non-covered, but Medicaid and some plans may pay.
HCPCS code K0835: Group 2 standard power wheelchair billing guide
HCPCS code K0835 covers a power wheelchair (Group 2, standard) with a single power option, sling or solid seat/back, for patients whose weight does not exceed 300 pounds. It is a Level II HCPCS code maintained by the Centers for Medicare and Medicaid Services (CMS) and applies to durable medical equipment (DME) claims billed to […]
HCPCS code L1971: Prefabricated ankle-foot orthosis guide
HCPCS code L1971 describes a prefabricated ankle-foot orthosis (AFO), plastic or other material, with an ankle joint, with or without dorsiflexion assist, including fitting and adjustment. It’s a HCPCS Level II code maintained by CMS, not a CPT code, a distinction worth stating plainly since the two get searched interchangeably. Medicare covers L1971 under LCD […]