The Record - for physicians and other health care providers to share with their office staffs
March 2013

HCPCS codes added, coverage decisions changed

The Centers for Medicare & Medicaid Services has added one new HCPCS code as part of its first quarter HCPCS update. CMS has also rescinded one modifier released as part of its 2013 annual update and changed coverage decisions for five HCPCS codes.

The new code is listed below.

Code

Change

Coverage Comments

Effective Date

G9157

Added

Covered by BCBSM

Oct. 1, 2012

Corrections to the 2013 annual HCPCS update

BCBSM published new and deleted codes for 2013 on web-DENIS in January. We listed Modifier 18 as a new modifier there in error.

BCBSM has changed its coverage decisions for the following codes, effective Jan. 1, 2013.

*Code

Change

Coverage Comments

Effective Date

0318T

Added

Requires manual review

Jan. 1, 2013

23473

Added

Covered by BCBSM

Jan. 1, 2013

23474

Added

Covered by BCBSM

Jan. 1, 2013

24370

Added

Covered by BCBSM

Jan. 1, 2013

24371

Added

Covered by BCBSM

Jan. 1, 2013

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.