|
November 2020
HCPCS third-quarter update: New and deleted codes
Modifiers
| Code |
Change |
Coverage comments |
Effective date |
| J5 |
Added |
Informational only |
Oct. 1, 2020 |
| V4 |
Added |
Informational only |
Oct. 1, 2020 |
Skin codes
| Code |
Change |
Coverage comments |
Effective date |
| Q4249 |
Added |
Not covered |
Oct. 1, 2020 |
| Q4250 |
Added |
Not covered |
Oct. 1, 2020 |
| Q4254 |
Added |
Not covered |
Oct. 1, 2020 |
| Q4255 |
Added |
Not covered |
Oct. 1, 2020 |
Outpatient Prospective Payment System/Radiologic Procedures Radiopharmaceuticals
| Code |
Change |
Coverage comments |
Effective date |
| C9060 |
Added |
Covered for facility only |
Oct. 1, 2020 |
| C9067 |
Added |
Covered for facility only |
Oct. 1, 2020 |
Outpatient Prospective Payment System/Injections
| Code |
Change |
Coverage comments |
Effective date |
| C9064 |
Added |
Covered for facility only |
Oct. 1, 2020 |
| C9062 |
Added |
Covered for facility only |
Oct. 1, 2020 |
| C9065 |
Added |
Covered for facility only |
Oct. 1, 2020 |
| C9066 |
Added |
Covered for facility only |
Oct. 1, 2020 |
| C9055 |
Deleted |
Deleted Sept. 30, 2020 |
Sept. 30, 2020 |
| C9059 |
Deleted |
Deleted Sept. 30, 2020 |
Sept. 30, 2020 |
| C9063 |
Deleted |
Deleted Sept. 30, 2020 |
Sept. 30, 2020 |
| C9061 |
Deleted |
Deleted Sept. 30, 2020 |
Sept. 30, 2020 |
Injections
| Code |
Change |
Coverage comments |
Effective date |
| J1437 |
Added |
Covered |
Oct. 1, 2020 |
| J1632 |
Added |
Covered |
Oct. 1, 2020 |
| J1738 |
Added |
Covered |
Oct. 1, 2020 |
| J3032 |
Added |
Covered |
Oct. 1, 2020 |
| J3241 |
Added |
Requires manual review |
Oct. 1, 2020 |
| J7351 |
Added |
Covered |
Oct. 1, 2020 |
| J9227 |
Added |
Covered |
Oct. 1, 2020 |
| J9304 |
Added |
Covered |
Oct. 1, 2020 |
Outpatient Prospective Payment System/Surgery
| Code |
Change |
Coverage comments |
Effective date |
| C9761 |
Added |
Not covered |
Oct. 1, 2020 |
| C9769 |
Added |
Covered for facility only |
Oct. 1, 2020 |
Outpatient Prospective Payment System/Radiology
| Code |
Change |
Coverage comments |
Effective date |
| C9768 |
Added |
Covered for facility only |
Oct. 1, 2020 |
Professional/Miscellaneous/Data Gathering codes
| Code |
Change |
Coverage comments |
Effective date |
| G1020 |
Added |
Not covered |
Oct. 1, 2020 |
| G1021 |
Added |
Not covered |
Oct. 1, 2020 |
| G1022 |
Added |
Not covered |
Oct. 1, 2020 |
| G1023 |
Added |
Not covered |
Oct. 1, 2020 |
Temporary Q codes/unclassified
| Code |
Change |
Coverage comments |
Effective date |
| Q9001 |
Added |
Not covered |
Oct. 1, 2020 |
| Q9002 |
Added |
Not covered |
Oct. 1, 2020 |
| Q9003 |
Added |
Not covered |
Oct. 1, 2020 |
Professional/Miscellaneous/Medicaid only services
| Code |
Change |
Coverage comments |
Effective date |
| T2047 |
Added |
Not covered |
Oct. 1, 2020 |
Optical Accessories
| Code |
Change |
Coverage comments |
Effective date |
| V2524 |
Added |
Not covered |
Oct. 1, 2020 |
Durable Medical Equipment
| Code |
Change |
Coverage comments |
Effective date |
| K1006 |
Added |
Covered by groups with DME benefits |
Oct. 1, 2020 |
| K1007 |
Added |
Not covered |
Oct. 1, 2020 |
| K1009 |
Added |
Requires manual review |
Oct. 1, 2020 |
| K1010 |
Added |
Covered by groups with DME benefits |
Oct. 1, 2020 |
| K1011 |
Added |
Covered by groups with DME benefits |
Oct. 1, 2020 |
| K1012 |
Added |
Covered by groups with DME benefits |
Oct. 1, 2020 |
|
