HCPCS code K0605: Replacement battery for external infusion pump
HCPCS code K0605 bills a lithium 4.5 volt replacement battery for a patient-owned external infusion pump. Coding rules and denial fixes.
HCPCS code J1441: Filgrastim (G-CSF) 480 mcg injection guide
HCPCS code J1441 described an injection of filgrastim (granulocyte colony-stimulating factor, G-CSF) at a flat dose of 480 mcg. Filgrastim stimulates neutrophil production in patients receiving chemotherapy, undergoing bone marrow transplant, or living with severe chronic neutropenia. Neupogen (Amgen) was the originator brand billed under this code. The code is no longer valid. CMS deleted […]
HCPCS code G0289: Knee arthroscopy billing guide
G0289 covers knee arthroscopy in a second compartment of the same knee. Bill it with a primary CPT code and modifier XS.
HCPCS Code J1120: Acetazolamide sodium injection billing guide
HCPCS Code J1120 covers the injection of acetazolamide sodium, up to 500 mg. CMS maintains it under HCPCS Level II, and Medicare pays it through Part B using average sales price pricing. Three problems cause most J1120 denials: a missing NDC, a diagnosis code that does not support the indication, and the wrong place of […]
HCPCS Code J0780: Prochlorperazine injection billing guide
HCPCS Code J0780 is the Level II J-code for an injection of prochlorperazine, up to 10 mg. It bills the drug itself, not the administration, and it carries a hard 10 mg billing unit. Most J0780 denials trace back to three details. Units have to increase when the dose goes above 10 mg. Single-dose vial […]
HCPCS code E0296: Total electric hospital bed billing guide
Medicare denies HCPCS code E0296 as a convenience feature, so payment rides on the covered bed’s GK line. Read more on modifiers, ABNs, and documentation.
HCPCS Code J0895: Injection, deferoxamine mesylate, 500 mg
HCPCS Code J0895 is the billing code for an injection of deferoxamine mesylate, 500 mg. One unit equals 500 mg of drug administered, so the dose drives the unit count on every claim. Deferoxamine is an iron chelator, and payers cover it for a narrow list of iron overload diagnoses. Medicare pays it under Part […]
HCPCS Code J0885: Epoetin alfa billing guide for non-ESRD use
J0885 covers epoetin alfa for non-dialysis patients, billed per 1,000 units. Add modifier JA or JB, and pair D63.1 with a CKD stage code.
HCPCS code E0249: Replacement heat pad billing guide
Pads wear out faster than pumps. Channels crack, a seam starts to leak, and the patient calls asking for a new pad rather than a new unit. E0249 is the code for that pad, the durable replacement for a water circulating heat unit. Medicare denies it every time, and the reason has nothing to do […]
HCPCS code E0292: Variable height hospital bed billing guide
HCPCS code E0292 is a variable height, hi-lo hospital bed with a mattress and without side rails. Once rails are part of the frame, the bed becomes E0255. Rails supplied as separate items get their own codes, E0305 and E0310. That one distinction sets up everything else about the code, from the coverage test to […]