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.
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