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November 2017

HCPCS, CPT updates and early release codes

Third-quarter HCPCS code updates
Outpatient prospective payment system

Code

Change

Coverage comments

Effective date

C9491

Added

Not covered

Oct. 1, 2017

C9492

Added

Not covered

Oct. 1, 2017

C9493

Added

Not covered

Oct. 1, 2017

C9494

Added

Not covered

Oct. 1, 2017

Third-quarter CPT code updates
Pathology and laboratory — proprietary laboratory analysis


Code

Change

Coverage comments

Effective date

*0018U

Added

Not covered

Oct. 1, 2017

*0019U

Added

Not covered

Oct. 1, 2017

*0020U

Added

Covered

Oct. 1, 2017

*0021U

Added

Not covered

Oct. 1, 2017

*0022U

Added

Requires manual review

Oct. 1, 2017

*0023U

Added

Requires manual review

Oct. 1, 2017

2018 early release HCPCS code updates
Medicine supplementary — oral drugs, injection

Code

Change

Coverage comments

Effective date

J0604

Added

Covered

Jan. 1, 2018

Injection

Code

Change

Coverage comments

Effective date

J0606

Added

Covered

Jan. 1, 2018

2018 early release CPT code updates
Category III and medicine codes — Surgery, radiology, medicine, pathology and laboratory, vaccines/toxoids

Code

Change

Coverage comments

Effective date

*0479T

Added

Not covered

Jan. 1, 2018

*0480T

Added

Not covered

Jan. 1, 2018

*0481T

Added

Not covered

Jan. 1, 2018

*0482T

Added

Not covered

Jan. 1, 2018

*0483T

Added

Not covered

Jan. 1, 2018

*0484T

Added

Not covered

Jan. 1, 2018

*0485T

Added

Not covered

Jan. 1, 2018

*0486T

Added

Not covered

Jan. 1, 2018

*0487T

Added

Not covered

Jan. 1, 2018

*0488T

Added

Not covered

Jan. 1, 2018

*0489T

Added

Not covered

Jan. 1, 2018

*0490T

Added

Not covered

Jan. 1, 2018

*0491T

Added

Not covered

Jan. 1, 2018

*0492T

Added

Not covered

Jan. 1, 2018

*0493T

Added

Not covered

Jan. 1, 2018

*0494T

Added

Not covered

Jan. 1, 2018

*0495T

Added

Not covered

Jan. 1, 2018

*0496T

Added

Not covered

Jan. 1, 2018

*0497T

Added

Not covered

Jan. 1, 2018

*0498T

Added

Not covered

Jan. 1, 2018

*0499T

Added

Not covered

Jan. 1, 2018

*0500T

Added

Not covered

Jan. 1, 2018

*0501T

Added

Requires manual review

Jan. 1, 2018

*0502T

Added

Requires manual review

Jan. 1, 2018

*0503T

Added

Requires manual review

Jan. 1, 2018

*0504T

Added

Requires manual review

Jan. 1, 2018

*90756

Added

Covered

Jan. 1, 2018

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.