December 2022

HCPCS 3rd-quarter update: New and deleted 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
J1302	Added	Covered	Oct. 1, 2022
J2777	Added	Covered	Oct. 1, 2022
Q5125	Added	Covered	Oct. 1, 2022

Injections/chemotherapy

Code	Change	Coverage comments	Effective date
J1932	Added	Covered	Oct. 1, 2022
J9274	Added	Requires manual review	Oct. 1, 2022
J9298	Added	Covered	Oct. 1, 2022
Q2056	Added	Requires manual review	Oct. 1, 2022

Outpatient Prospective Payment System/Injections

Code	Change	Coverage comments	Effective date
C9094	Deleted	Deleted Sept. 30, 2022
C9095	Deleted	Deleted Sept. 30, 2022
C9096	Deleted	Deleted Sept. 30, 2022
C9097	Deleted	Deleted Sept. 30, 2022
C9098	Deleted	Deleted Sept. 30, 2022
C9101	Added	Covered for facility only	Oct. 1, 2022
C9142	Added	Covered for facility only	Oct. 1, 2022

Skin substitutes

Code	Change	Coverage comments	Effective date
A2014	Added	Covered	Oct. 1, 2022
A2015	Added	Covered	Oct. 1, 2022
A2016	Added	Covered	Oct. 1, 2022
A2018	Added	Covered	Oct. 1, 2022

Radiopharmaceuticals

Code	Change	Coverage comments	Effective date
A9602	Added	Not covered	Oct. 1, 2022
A9607	Added	Covered	Oct. 1, 2022
A9800	Added	Covered	Oct. 1, 2022

Other medical services

Code	Change	Coverage comments	Effective date
C1834	Added	Not covered	Oct. 1, 2022

Medical/surgical supplies

Code	Change	Coverage comments	Effective date
A2017	Added	Covered	Oct. 1, 2022
A4596	Added	Not covered	Oct. 1, 2022

Durable medical equipment

Code	Change	Coverage comments	Effective date
E0183	Added	Covered	Oct. 1, 2022

Therapeutic, preventive or other interventions

Code	Change	Coverage comments	Effective date
G0310	Added	Not covered	May 11, 2022
G0311	Added	Not covered	May 11, 2022
G0312	Added	Not covered	May 11, 2022
G0313	Added	Not covered	May 11, 2022
G0314	Added	Not covered	May 11, 2022
G0315	Added	Not covered	May 11, 2022

National T codes, Medicaid

Code	Change	Coverage comments	Effective date
T1032	Added	Not covered	Oct. 1, 2022
T1033	Added	Not covered	Oct. 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.