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August 2018
HCPCS and CPT update: New codes added
The Centers for Medicare & Medicaid Services has added several new HCPCS and CPT codes. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.
HCPCS codes
Outpatient Prospective Payment System — Injection
Code |
Change |
Coverage comments |
Effective date |
C9030 |
Added |
Covered for facility only |
July 1, 2018 |
C9032 |
Added |
Requires manual review |
July 1, 2018 |
C9469 |
Deleted |
Deleted |
June 30, 2018 |
Outpatient Prospective Payment System — Radiopharmaceuticals
Code |
Change |
Coverage comments |
Effective date |
C9031 |
Added |
Covered for facility only |
July 1, 2018 |
Medicine Supplementary — Injections
Code |
Change |
Coverage comments |
Effective date |
Q5105 |
Added |
Covered |
July 1, 2018 |
Q5106 |
Added |
Covered |
July 1, 2018 |
Modifiers
Modifier |
Change |
Coverage comments |
Effective date |
QQ |
Added |
Informational only |
July 1, 2018 |
CPT codes
Pathology and Laboratory — Proprietary laboratory analysis codes
Code |
Change |
Coverage comments |
Effective date |
0045U |
Added |
Not covered |
July 1, 2018 |
0046U |
Added |
Covered |
July 1, 2018 |
0047U |
Added |
Not covered |
July 1, 2018 |
0048U |
Added |
Not covered |
July 1, 2018 |
0049U |
Added |
Covered |
July 1, 2018 |
0050U |
Added |
Not covered |
July 1, 2018 |
0051U |
Added |
Not covered |
July 1, 2018 |
0052U |
Added |
Not covered |
July 1, 2018 |
0053U |
Added |
Not covered |
July 1, 2018 |
0054U |
Added |
Not covered |
July 1, 2018 |
0055U |
Added |
Not covered |
July 1, 2018 |
0056U |
Added |
Not covered |
July 1, 2018 |
0057U |
Added |
Not covered |
July 1, 2018 |
0058U |
Added |
Not covered |
July 1, 2018 |
0059U |
Added |
Not covered |
July 1, 2018 |
0060U |
Added |
Not covered |
July 1, 2018 |
0061U |
Added |
Not covered |
July 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. |
