August 2022

HCPCS 2nd-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

Code	Change	Coverage comments	Effective date
J0739	Added	Covered	July 1, 2022
J1306	Added	Manual review	July 1, 2022
J1551	Added	Covered	July 1, 2022
J2356	Added	Covered	July 1, 2022
J2779	Added	Covered	July 1, 2022
J2998	Added	Covered	July 1, 2022
J3299	Added	Covered	July 1, 2022
J9332	Added	Requires manual review	July 1, 2022

Injections/chemotherapy

Code	Change	Coverage comments	Effective date
J9331	Added	Covered	July 1, 2022

Outpatient Prospective Payment System/Injections

Code	Change	Coverage comments	Effective date
C9090	Deleted	Deleted June 30, 2022	June 30, 2022
C9091	Deleted	Deleted June 30, 2022	June 30, 2022
C9092	Deleted	Deleted June 30, 2022	June 30, 2022
C9093	Deleted	Deleted June 30, 2022	June 30, 2022
C9095	Added	Manual review for facility only	July 1, 2022
C9096	Added	Covered for facility only	July 1, 2022
C9097	Added	Covered for facility only	July 1, 2022
C9098	Added	Manual review for facility only	July 1, 2022

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 2021 American Medical Association. All rights reserved.