An AFO (abbreviation for Ankle-Foot Orthotics) supports, prevents, corrects, or aligns ankle deformities or improves its function. Below you can find the HCPCS codes used to bill AFO. 1. What Is HCPCS Code L1900? L1900 covers the supply of an AFO (ankle foot orthosis). This is used to assist the patient with the dorsiflexion movement….
Reclast®, Zometa®, Zometa Concentrate®, and Aclasta® can be reported with HCPCS code J3489. According to CMS, J3489 replaced J3487 and J3488 (deleted on 31 December 2013). 1. What Is HCPCS Code J3489? J3489 can be used for billing Reclast®, Zometa®, Zometa Concentrate®, and Aclasta®. These brands contain zoledronic acid, which inhibits the release of calcium…
Medical records can be billed with S9981 for the administrative part, and S9982 can be used for the fee or every copied page. The Health Insurance Portability and Accountability Act (HIPAA) states that states can charge reasonable fees for copying medical records. The fees for medical records vary per state and include postage, administrative/clerical work,…
Below you can find the origin and destination codes for ambulance modifiers and the HCPCS codes for reporting ambulance services. 1. How Are Ambulance Modifiers Used? Ambulance service claims must be reported with origin and destination codes provided by HCPCS. Two alpha characters create these codes and can be reported as ambulance modifiers. The alpha…
Report HCPCS l3908 when a provider supplied a patient with a single static, prefabricated, off-the-shelf wrist-hand orthosis for free movement of the thumb and fingers. 1. What Is A2013? HCPCS code l3908 represents the supply of a single static, prefabricated, off-the-shelf wrist-hand orthosis that controls the wrist and hand, allowing free movement of the fingers…
Q4101 can be used to bill Apligraf. One unit of this code covers a square centimeter. Below are the description and billing guidelines for this HCPCS code. 1. What Is HCPCS Code Q4101? Q4101 covers each square centimeter of Apligraf. This is a skin substitute providers use to treat diabetic foot and venous leg ulcers….
G0446 covers annual face-to-face behavioral therapy for individuals with cardiovascular disease (IBT for CVD). Below are the description, procedure, and billing guidelines for this HCPCS code. 1. What Is HCPCS Code G0446? Report HCPCS code G0446 when the provider conducts an annual intensive behavioral therapy for cardiovascular disease individually and in person with a patient….
HCPCS code Q9991 can be reported for 100 mg or less of extended-release buprenorphine (Sublocade™) and HCPCS code Q9991 if the dose exceeds 100 mg. 1. What Is A Opioid Use Disorder? Opioid use disorder refers to a pattern of opioid use that leads to clinically significant impairment or distress characterized by a patient’s; Opioid…
HCPCS code G0442 can be billed for the screening of alcohol misuse, and HCPCS code G0443 can be reported for behavioral counseling for alcohol misuse. 1. What Is HCPCS Code G0442? Report the HCPCS G0442 when the provider screens a patient for the presence of alcohol abuse. The provider performs this screening examination on an…
HCPCS code P9603 and HCPCS code P9604 can be used for traveling to collect specimens. Below we explain the difference between these codes. 1. General Billing Guidelines CMS permits a travel allowance when providers must go to a homebound patient to collect a medically necessary specimen. There are several guidelines for the payment of this…
