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November 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

C9033

Added

Covered for facility only

Oct. 1, 2018

C9034

Added

Covered for facility only

Oct. 1, 2018

C9750

Deleted

Not covered

Oct. 30, 2018

Medicine/professional — Evaluation and management

Code

Change

Coverage comments

Effective date

G9978

Added

Not covered

Oct. 1, 2018

G9979

Added

Not covered

Oct. 1, 2018

G9980

Added

Not covered

Oct. 1, 2018

G9981

Added

Not covered

Oct. 1, 2018

G9982

Added

Not covered

Oct. 1, 2018

G9983

Added

Not covered

Oct. 1, 2018

G9984

Added

Not covered

Oct. 1, 2018

G9985

Added

Not covered

Oct. 1, 2018

G9986

Added

Not covered

Oct. 1, 2018

G9987

Added

Not covered

Oct. 1, 2018

Medicine Supplementary — Injections

Code

Change

Coverage comments

Effective date

Q5109

Added

Covered

Oct. 1, 2018

Q5110

Added

Covered

Oct. 1, 2018

Medicine/professional — Miscellaneous/data gathering codes

Code

Change

Coverage comments

Effective date

G9978

Deleted

Deleted

Jan. 1, 2018

G9979

Deleted

Deleted

Jan. 1, 2018

CPT codes
Pathology and Laboratory — Proprietary laboratory analysis codes

Code

Change

Coverage comments

Effective date

0020U

Deleted

Deleted

Sept. 30, 2018

0028U

Deleted

Deleted

Sept. 30, 2018

0062U

Added

Not covered

Oct. 1, 2018

0063U

Added

Not covered

Oct. 1, 2018

0064U

Added

Covered

Oct. 1, 2018

0065U

Added

Covered

Oct. 1, 2018

0066U

Added

Not covered

Oct. 1, 2018

0067U

Added

Not covered

Oct. 1, 2018

0068U

Added

Covered

Oct. 1, 2018

0069U

Added

Not covered

Oct. 1, 2018

0070U

Added

Not covered

Oct. 1, 2018

0071U

Added

Not covered

Oct. 1, 2018

0072U

Added

Not covered

Oct. 1, 2018

0073U

Added

Not covered

Oct. 1, 2018

0074U

Added

Not covered

Oct. 1, 2018

0075U

Added

Not covered

Oct. 1, 2018

0076U

Added

Not covered

Oct. 1, 2018

0077U

Added

Covered

Oct. 1, 2018

0078U

Added

Not covered

Oct. 1, 2018

0079U

Added

Not covered

Oct. 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

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 2017 American Medical Association. All rights reserved.