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May 2020

HCPCS update: New codes added, deleted

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

Annual
Physical/Occupational therapy visit

Code Change Coverage comments Effective date
G2168 Added Covered for facility only Jan. 1, 2020
G2169 Added Covered for facility only Jan. 1, 2020

First quarter
Professional/Data gathering codes

Code Change Coverage comments Effective date
G1000 Deleted Deleted March 31, 2020
G1012 Added Not covered April 1, 2020
G1013 Added Not covered April 1, 2020
G1014 Added Not covered April 1, 2020
G1015 Added Not covered April 1, 2020
G1016 Added Not covered April 1, 2020
G1017 Added Not covered April 1, 2020
G1018 Added Not covered April 1, 2020

First quarter
Injections C-codes

Code Change Coverage comments Effective date
C9053 Added Covered for facility only April 1, 2020
C9056 Added Covered for facility only April 1, 2020
C9057 Added Covered for facility only April 1, 2020
C9058 Added Covered for facility only April 1, 2020

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 2019 American Medical Association. All rights reserved.