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July 2017

HCPCS update: New codes added, deleted

The Centers for Medicare & Medicaid Services has added several new codes and deleted one as part of its quarterly HCPCS updates. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.

Outpatient Prospective Payment System

Code

Change

Coverage comments

Effective date

C9487

Deleted

Deleted

June 30, 2017

C9489

Added

Not covered

July 1, 2017

C9490

Added

Not covered

July 1, 2017

C9745

Added

Not covered

July 1, 2017

C9746

Added

Not covered

July 1, 2017

C9747

Added

Not covered

July 1, 2017

Medical/Surgical Supplies

Code

Change

Coverage comments

Effective date

K0553

Added

Not covered

July 1, 2017

K0554

Added

Not covered

July 1, 2017

Medicine Supplementary Drugs Other Than Chemotherapy/Contraception/Devices and Supplies

Code

Change

Coverage comments

Effective date

Q9984

Added

Covered

July 1, 2017

Medicine Supplementary/Injections

Code

Change

Coverage comments

Effective date

Q9985

Added

Covered

July 1, 2017

Q9986

Added

Covered

July 1, 2017

Q9989

Added

Covered

July 1, 2017

Pathology and Laboratory/Professional Services/Transfusion Medicine/Miscellaneous Blood Products

Code

Change

Coverage comments

Effective date

Q9987

Added

Covered for facility only

July 1, 2017

Q9988

Added

Covered for facility only

July 1, 2017

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.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2016 American Medical Association. All rights reserved.