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May 2018
HCPCS update: New codes added
The Centers for Medicare & Medicaid Services has added several new codes as part of its quarterly Health Care Procedure Coding System updates. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.
Medicine/professional — Miscellaneous/data gathering
Code |
Change |
Coverage comments |
Effective date |
G9873 |
Added |
Not covered |
April 1, 2018 |
G9874 |
Added |
Not covered |
April 1, 2018 |
G9875 |
Added |
Not covered |
April 1, 2018 |
G9876 |
Added |
Not covered |
April 1, 2018 |
G9877 |
Added |
Not covered |
April 1, 2018 |
G9878 |
Added |
Not covered |
April 1, 2018 |
G9879 |
Added |
Not covered |
April 1, 2018 |
G9880 |
Added |
Not covered |
April 1, 2018 |
G9881 |
Added |
Not covered |
April 1, 2018 |
G9882 |
Added |
Not covered |
April 1, 2018 |
G9883 |
Added |
Not covered |
April 1, 2018 |
G9884 |
Added |
Not covered |
April 1, 2018 |
G9885 |
Added |
Not covered |
April 1, 2018 |
G9890 |
Added |
Not covered |
April 1, 2018 |
G9891 |
Added |
Not covered |
April 1, 2018 |
Temporary codes — Durable medical equipment
Code |
Change |
Coverage comments |
Effective date |
K0903 |
Added |
Covered |
April 1, 2018 |
Medicine supplementary — Injections
Code |
Change |
Coverage comments |
Effective date |
Q2041 |
Added |
Requires manual review |
April 1, 2018 |
Q5102 |
Deleted |
Deleted |
March 31, 2018 |
Q5103 |
Added |
Requires manual review |
April 1, 2018 |
Q5104 |
Added |
Requires manual review |
April 1, 2018 |
Modifiers
Modifier |
Change |
Coverage comments |
Effective date |
QA |
Added |
Informational only |
April 1, 2018 |
QB |
Added |
Informational only |
Jan. 1, 2018 |
QR |
Added |
Informational only |
April 1, 2018 |
ZA |
Deleted |
Deleted |
March 31, 2018 |
ZB |
Deleted |
Deleted |
March 31, 2018 |
ZC |
Deleted |
Deleted |
March 31, 2018 |
Outpatient Prospective Payment System — Injection
Code |
Change |
Coverage comments |
Effective date |
C9462 |
Added |
Covered for facility only |
April 1, 2018 |
C9463 |
Added |
Covered for facility only |
April 1, 2018 |
C9464 |
Added |
Covered for facility only |
April 1, 2018 |
C9465 |
Added |
Not covered |
April 1, 2018 |
C9466 |
Added |
Covered for facility only |
April 1, 2018 |
C9467 |
Added |
Covered for facility only |
April 1, 2018 |
C9468 |
Added |
Covered for facility only |
April 1, 2018 |
C9469 |
Added |
Covered for facility only |
April 1, 2018 |
Outpatient Prospective Payment System — Surgery
Code |
Change |
Coverage comments |
Effective date |
C9749 |
Added |
Covered for facility only |
April 1, 2018 |
None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations. |
