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December 2021
Third-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 |
| C9065 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9075 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9076 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9077 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9078 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9079 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9080 |
Deleted |
Deleted Sept. 30, 2021 |
|
| C9081 |
Added |
Requires manual review |
Oct. 1, 2021 |
| C9082 |
Added |
Covered for facility only |
Oct. 1, 2021 |
| C9083 |
Added |
Covered for facility only |
Oct. 1, 2021 |
| C9084 |
Added |
Requires manual review |
Oct. 1, 2021 |
| J0693 |
Deleted |
Deleted Sept. 30, 2021 |
|
| J0699 |
Added |
Covered |
Oct. 1, 2021 |
| J0741 |
Added |
Covered |
Oct. 1, 2021 |
| J1305 |
Added |
Requires manual review |
Oct. 1, 2021 |
| J1426 |
Added |
Not covered |
Oct. 1, 2021 |
| J1445 |
Added |
Covered |
Oct. 1, 2021 |
| J1448 |
Added |
Requires manual review |
Oct. 1, 2021 |
| J2406 |
Added |
Covered |
Oct. 1, 2021 |
| J9247 |
Added |
Covered |
Oct. 1, 2021 |
| J9315 |
Deleted |
Deleted Sept. 30, 2021 |
|
| J9318 |
Added |
Covered |
Oct. 1, 2021 |
| J9319 |
Added |
Covered |
Oct. 1, 2021 |
| Q2054 |
Added |
Requires manual review |
Oct. 1, 2021 |
Skin Substitutes
| Code |
Change |
Coverage comments |
Effective date |
| Q4228 |
Deleted |
Deleted Sept. 30, 2021 |
|
| Q4236 |
Deleted |
Deleted Sept. 30, 2021 |
|
| Q4251 |
Added |
Covered |
Oct. 1, 2021 |
| Q4252 |
Added |
Covered |
Oct. 1, 2021 |
| Q4253 |
Added |
Covered |
Oct. 1, 2021 |
DME/P&O/Medical Supplies
| Code |
Change |
Coverage comments |
Effective date |
| A4453 |
Added |
Not covered |
Oct. 1, 2021 |
| K1021 |
Added |
Not covered |
Oct. 1, 2021 |
| K1022 |
Added |
Covered by groups with prosthetic and orthotic benefits. |
Oct. 1, 2021 |
| K1023 |
Added |
Not covered |
Oct. 1, 2021 |
| K1024 |
Added |
Not covered |
Oct. 1, 2021 |
| K1025 |
Added |
Not covered |
Oct. 1, 2021 |
| K1026 |
Added |
Not covered |
Oct. 1, 2021 |
| K1027 |
Added |
Covered by groups with DME benefits. |
Oct. 1, 2021 |
Transfusion Medicine/Miscellaneous Blood Products
| Code |
Change |
Coverage comments |
Effective date |
| P9025 |
Added |
Covered |
Oct. 1, 2021 |
| P9026 |
Added |
Covered |
Oct. 1, 2021 |
Medicine Supplementary/Contraception/Devices and Supplies
| Code |
Change |
Coverage comments |
Effective date |
| J7294 |
Added |
Covered |
Oct. 1, 2021 |
| J7295 |
Added |
Covered |
Oct. 1, 2021 |
| J7303 |
Deleted |
Deleted Sept. 30, 2021 |
|
Medicine Supplementary/Special Foods and Formulas
| Code |
Change |
Coverage comments |
Effective date |
| S9432 |
Added |
Not covered |
Oct. 1, 2021 |
Surgery
| Code |
Change |
Coverage comments |
Effective date |
| C1831 |
Added |
Not covered |
Oct. 1, 2021 |
| C9779 |
Added |
Not covered |
Oct. 1, 2021 |
| C9780 |
Added |
Not covered |
Oct. 1, 2021 |
Temporary Q Code/Unclassified
| Code |
Change |
Coverage comments |
Effective date |
| Q9004 |
Added |
Not covered |
Oct. 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. |
