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August 2023
HCPCS 2nd-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 |
J0137 |
Added |
Covered |
July 1, 2023 |
J0206 |
Added |
Covered |
July 1, 2023 |
J0216 |
Added |
Covered |
July 1, 2023 |
J0457 |
Added |
Covered |
July 1, 2023 |
J0665 |
Added |
Covered |
July 1, 2023 |
J0736 |
Added |
Covered |
July 1, 2023 |
J0737 |
Added |
Covered |
July 1, 2023 |
J1440 |
Added |
Covered |
July 1, 2023 |
J1576 |
Added |
Covered |
July 1, 2023 |
J1805 |
Added |
Covered |
July 1, 2023 |
J1806 |
Added |
Covered |
July 1, 2023 |
J1811 |
Added |
Covered |
July 1, 2023 |
J1812 |
Added |
Covered |
July 1, 2023 |
J1941 |
Added |
Not covered |
July 1, 2023 |
J1961 |
Added |
Covered |
July 1, 2023 |
J2249 |
Added |
Covered |
July 1, 2023 |
J2305 |
Added |
Covered |
July 1, 2023 |
J2329 |
Added |
Covered |
July 1, 2023 |
J2371 |
Added |
Covered |
July 1, 2023 |
J2372 |
Added |
Covered |
July 1, 2023 |
J2427 |
Added |
Covered |
July 1, 2023 |
J2561 |
Added |
Covered |
July 1, 2023 |
J2598 |
Added |
Covered |
July 1, 2023 |
J2599 |
Added |
Covered |
July 1, 2023 |
J2806 |
Added |
Covered |
July 1, 2023 |
J7213 |
Added |
Covered |
July 1, 2023 |
J9381 |
Added |
Covered |
July 1, 2023 |
Q5131 |
Added |
Not covered |
July 1, 2023 |
J2370 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
Injection/chemotherapy
Code |
Change |
Coverage comments |
Effective date |
J1813 |
Added |
Covered |
July 1, 2023 |
J1814 |
Added |
Covered |
July 1, 2023 |
J1836 |
Added |
Covered |
July 1, 2023 |
J1920 |
Added |
Covered |
July 1, 2023 |
J1921 |
Added |
Covered |
July 1, 2023 |
J9029 |
Added |
Covered |
July 1, 2023 |
J9056 |
Added |
Covered |
July 1, 2023 |
J9058 |
Added |
Covered |
July 1, 2023 |
J9059 |
Added |
Covered |
July 1, 2023 |
J9063 |
Added |
Covered |
July 1, 2023 |
J9259 |
Added |
Covered |
July 1, 2023 |
J9322 |
Added |
Covered |
July 1, 2023 |
J9323 |
Added |
Covered |
July 1, 2023 |
J9347 |
Added |
Covered |
July 1, 2023 |
J9350 |
Added |
Covered |
July 1, 2023 |
J9380 |
Added |
Covered |
July 1, 2023 |
S0020 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
S0030 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
S0073 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
S0077 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
Outpatient prospective payment system/injections
Code |
Change |
Coverage comments |
Effective date |
C9151 |
Added |
Covered for facility only |
July 1, 2023 |
C9149 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
Outpatient prospective payment system/radiology
|
Code |
Change |
Coverage comments |
Effective date |
C9150 |
Added |
Not covered |
July 1, 2023 |
Outpatient prospective payment system/surgery
Code |
Change |
Coverage comments |
Effective date |
C9784 |
Added |
Not covered |
July 1, 2023 |
C9785 |
Added |
Not covered |
July 1, 2023 |
Outpatient prospective payment system/other medical services
|
Code |
Change |
Coverage comments |
Effective date |
C9786 |
Added |
Not covered |
July 1, 2023 |
C9787 |
Added |
Not covered |
July 1, 2023 |
Outpatient prospective payment system/injections/chemotherapy
|
Code |
Change |
Coverage comments |
Effective date |
C9146 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
C9147 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
C9148 |
Deleted |
Deleted on June 30, 2023 |
June 30, 2023 |
Skin substitutes
| Code |
Change |
Coverage comments |
Effective date |
Q4272 |
Added |
Not covered |
July 1, 2023 |
Q4273 |
Added |
Not covered |
July 1, 2023 |
Q4274 |
Added |
Not covered |
July 1, 2023 |
Q4275 |
Added |
Not covered |
July 1, 2023 |
Q4276 |
Added |
Not covered |
July 1, 2023 |
Q4277 |
Added |
Not covered |
July 1, 2023 |
Q4278 |
Added |
Not covered |
July 1, 2023 |
Q4280 |
Added |
Not covered |
July 1, 2023 |
Q4281 |
Added |
Not covered |
July 1, 2023 |
Q4282 |
Added |
Not covered |
July 1, 2023 |
Q4283 |
Added |
Not covered |
July 1, 2023 |
Q4284 |
Added |
Not covered |
July 1, 2023 |
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. |
