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June 2021

HCPCS first‑quarter 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 and Drugs Administered Other Than Oral Method

Code Change Coverage comments Effective date
C9074 Added Covered April 1, 2021
J1427 Added Covered April 1, 2021
J1554 Added Covered April 1, 2021
J7402 Added Covered April 1, 2021
C9068 Deleted Deleted March 31, 2021
C9069 Deleted Deleted March 31, 2021
C9070 Deleted Deleted March 31, 2021
C9071 Deleted Deleted March 31, 2021
C9072 Deleted Deleted March 31, 2021
C9074 Deleted Deleted March 31, 2021
C9074 Deleted Deleted March 31, 2021
J7333 Deleted Deleted March 31, 2021
J7401 Deleted Deleted March 31, 2021
J7402 Added Not covered Apri1, 2021

Injections/chemotherapy

Code Change Coverage comments Effective date
J9037 Added Covered April 1, 2021
J9349 Added Covered April 1, 2021
Q2053 Added Covered April 1, 2021

Radiopharmaceuticals

Code Change Coverage comments Effective date
A9592 Added Covered July 1, 2021

Outpatient PPS

Code Change Coverage comments Effective date
C9776 Added Inclusive to a related procedure for facility only April 1, 2021
C9777 Added Not covered April 1, 2021
C9122 Deleted Deleted March 31, 2021  

Medicine/Professional Miscellaneous/Data Gathering

Code Change Coverage comments Effective date
G2172 Added Not covered April 1, 2021

Temporary Codes DME/P&O

Code Change Coverage comments Effective date
K1013 Added Payable for groups with DME coverage April 1, 2021
K1014 Added Payable for groups with P&O coverage April 1, 2021
K1015 Added Not covered April 1, 2021
K1016 Added Not covered April 1, 2021
K1017 Added Not covered April 1, 2021
K1018 Added Not covered April 1, 2021
K1019 Added Not covered April 1, 2021
K1020 Added Not covered April 1, 2021
K1010 Deleted Deleted March 31, 2021  
K1011 Deleted Deleted March 31, 2021  
K1012 Deleted Deleted March 31, 2021  

Temporary National Codes

Code Change Coverage comments Effective date
S1091 Added Not covered April 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.