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.
|