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August 2021

Second‑quarter 2021 HCPCS update: New and updated codes

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.

Injections

Code Change Coverage comments Effective date
C9132 Deleted Deleted June 30, 2021 June 30, 2021
C9074 Deleted Deleted June 30, 2021 June 30, 2021
C9075 Added Not covered July 1, 2021
C9076 Added Covered for facility only July 1, 2021
C9077 Added Covered for facility only July 1, 2021
J0224 Added Covered July 1, 2021
J1951 Added Covered July 1, 2021
J7168 Added Covered July 1, 2021
C9079 Added Covered for facility only July 1, 2021

Injections/chemotherapy

Code Change Coverage comments Effective date
C9078 Added Covered for facility only July 1, 2021
C9080 Added Covered for facility only July 1, 2021
J9348 Added Covered July 1, 2021
J9353 Added Covered July 1, 2021
Q5123 Added Covered July 1, 2021

Surgery

Code Change Coverage comments Effective date
C1761 Added Not covered July 1, 2021
C9778 Added Covered for facility only July 1, 2021
G0327 Added Not covered July 1, 2021

Radiopharmaceuticals

Code Change Coverage comments Effective date
A9593 Added Not covered July 1, 2021
A9594 Added Not covered July 1, 2021

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 2020 American Medical Association. All rights reserved.