|
May 2022
HCPCS 1st-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.
Skin substitutes
| Code |
Change |
Coverage comments |
Effective date |
| A2011 |
Added |
Covered |
April 1, 2022 |
| A2012 |
Added |
Covered |
April 1, 2022 |
| A2013 |
Added |
Not covered |
April 1, 2022 |
| A4100 |
Added |
Not covered |
April 1, 2022 |
| Q4224 |
Added |
Not covered |
April 1, 2022 |
| Q4225 |
Added |
Not covered |
April 1, 2022 |
| Q4226 |
Added |
Not covered |
April 1, 2022 |
| Q4257 |
Added |
Not covered |
April 1, 2022 |
| Q4258 |
Added |
Not covered |
April 1, 2022 |
Outpatient Prospective Payment System/Surgery
| Code |
Change |
Coverage comments |
Effective date |
| C9781 |
Added |
Not covered |
April 1, 2022 |
| C9782 |
Added |
Requires manual review |
April 1, 2022 |
| C9783 |
Added |
Requires manual review |
April 1, 2022 |
Injections
| Code |
Change |
Coverage comments |
Effective date |
| J0219 |
Added |
Requires manual review |
April 1, 2022 |
| J0491 |
Added |
Covered |
April 1, 2022 |
| J0879 |
Added |
Covered |
April 1, 2022 |
| J9071 |
Added |
Covered |
April 1, 2022 |
| J9273 |
Added |
Covered |
April 1, 2022 |
| J9359 |
Added |
Covered |
April 1, 2022 |
| Q5124 |
Added |
Covered |
April 1, 2022 |
Outpatient Prospective Payment System/Injections
| Code |
Change |
Coverage comments |
Effective date |
| C9084 |
Deleted |
Deleted March 31, 2022 |
March 31, 2022 |
| C9085 |
Deleted |
Deleted March 31, 2022 |
March 31, 2022 |
| C9086 |
Deleted |
Deleted March 31, 2022 |
March 31, 2022 |
| C9087 |
Deleted |
Deleted March 31, 2022 |
March 31, 2022 |
| C9090 |
Added |
Covered for facility only |
April 1, 2022 |
| C9091 |
Added |
Covered for facility only |
April 1, 2022 |
| C9092 |
Added |
Covered for facility only |
April 1, 2022 |
| C9093 |
Added |
Covered for facility only |
April 1, 2022 |
Prosthetics and Orthotics/Medical Care
| Code |
Change |
Coverage comments |
Effective date |
| V2525 |
Added |
Covered |
April 1, 2022 |
Behavioral Health
| Code |
Change |
Coverage comments |
Effective date |
| H2038 |
Added |
Not covered |
April 1, 2022 |
| T2050 |
Added |
Not covered |
April 1, 2022 |
| T2051 |
Added |
Not covered |
April 1, 2022 |
Professional /Data Gathering Codes
Physician Quality Reporting Initiative
| Code |
Change |
Coverage comments |
Effective date |
| G1009 |
Delete |
Delete March 31, 2022 |
March 31,2022 |
DME/POS
| Code |
Change |
Coverage comments |
Effective date |
| A4238 |
Added |
Covered |
April 1, 2022 |
| A9574 |
Deleted |
|
April 1, 2022 |
| E2102 |
Added |
Covered |
April 1, 2022 |
| K1028 |
Added |
Not covered |
April 1, 2022 |
| K1029 |
Added |
Not covered |
April 1, 2022 |
| K1030 |
Added |
Covered |
April 1, 2022 |
| K1031 |
Added |
Not covered |
April 1, 2022 |
| K1032 |
Added |
Not covered |
April 1, 2022 |
| K1033 |
Added |
Not covered |
April 1, 2022 |
Behavioral Health
| Code |
Change |
Coverage comments |
Effective date |
| A9291 |
Added |
Not covered |
April 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. |
