HCPCS code J2371: Phenylephrine hydrochloride 20 mcg billing guide
HCPCS code J2371 is a Level II J-code for injection of generic phenylephrine hydrochloride, billed at 20 micrograms per unit under Medicare Part B and other covered payers. Phenylephrine hydrochloride is a vasopressor used to manage acute hypotension, particularly during anesthesia and procedural care. Correct billing turns on the wastage modifier, unit counting, and claim-form […]
HCPCS code J2777: billing guide for faricimab-svoa (Vabysmo)
HCPCS code J2777 is the permanent Level II J-code for Injection, faricimab-svoa, 0.1 mg, the drug sold as Vabysmo. A standard 6 mg dose bills as 60 units, and every Medicare claim needs a JW or JZ wastage modifier. Miss either detail and a high-cost injection can reverse on a single denial. This guide covers […]
HCPCS code L4360: Walking boot, pneumatic, prefabricated
HCPCS Code L4360 is the billing code for a prefabricated pneumatic and/or vacuum walking boot that a qualified individual has trimmed, bent, molded, or otherwise customized to fit a specific patient. Medicare covers it under the Brace benefit, and the customization requirement is what separates L4360 from off-the-shelf L4361. HCPCS Code L4360: official description and […]
HCPCS code L3913: Hand finger orthosis billing guide
HCPCS code L3913 is a Level II DMEPOS code for a custom-fabricated hand finger orthosis (HFO) without joints, including fitting and adjustment. It immobilizes or supports the metacarpophalangeal (MCP) joints, hand, and fingers, and requires documented medical necessity and true custom fabrication to bill Medicare. Custom-fabricated orthoses are among the most audit-prone categories in DME […]
HCPCS code E0149: Heavy-duty wheeled walker billing guide
HCPCS code E0149 is defined by the Centers for Medicare and Medicaid Services (CMS) as a walker, heavy duty, wheeled, rigid or folding, any type. This Level II code sits in the walking-aids range (E0100-E0159) and is covered by Medicare Part B and most Medicaid DME programs for beneficiaries who weigh more than 300 pounds. […]
HCPCS code V5011: Fitting, orientation, and checking of hearing aid
HCPCS code V5011 covers the fitting, orientation, and checking of a hearing aid — a single-session service reported per hearing aid fitted. It captures physically fitting the device, counseling the patient on its use and maintenance, and verifying the aid works correctly. Audiologists and hearing instrument specialists bill it. Most audiology claim denials for hearing […]
HCPCS code H0004: Behavioral health counseling billing guide
HCPCS Code H0004 is a billable HCPCS Level II code described as “Behavioral health counseling and therapy, per 15 minutes.” It is billed in 15-minute units and is used primarily by Medicaid programs and managed care organizations to reimburse individual and group counseling for substance use disorder and mental health conditions. HCPCS Code H0004: definition, […]
HCPCS code E0100: Cane billing, modifiers, and coverage guide
HCPCS code E0100 is a Level II code that describes a cane of any material, adjustable or fixed, with a single tip, classified as Durable Medical Equipment (DME). It is billed by DME suppliers and practices that dispense standard canes to patients who need ambulatory support, with Medicare coverage governed by LCD L33733. HCPCS code […]
HCPCS code L3923: Hand finger orthosis without joints, custom-fitted
HCPCS code L3923 is a Level II supply code for a hand finger orthosis (HFO) without joints: a prefabricated device that a qualified provider trims, bends, molds, or assembles to fit one specific patient. It covers the device and the customization service, distinguishing it from off-the-shelf code L3924. The most common L3923 billing error is […]
HCPCS code J3489: Injection, zoledronic acid, 1 mg
HCPCS code J3489 is the CMS HCPCS Level II code for “Injection, zoledronic acid, 1 mg,” a bisphosphonate given by IV infusion. Because each unit equals 1 mg, bill units equal to the milligrams administered—4 units for a 4 mg Zometa dose, 5 units for a 5 mg Reclast dose. Valid for 2026. This guide […]