|
November 2023
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.
Radiopharmaceuticals
Radiology
Code |
Change |
Coverage comments |
Effective date |
A9573 |
Added |
Covered |
Oct. 1, 2023 |
A9603 |
Added |
Covered |
Oct. 1, 2023 |
A9697 |
Added |
Covered |
Oct. 1, 2023 |
Injections/Outpatient PPS
Code |
Change |
Coverage comments |
Effective date |
C9151 |
Delete |
Deleted Sept. 30, 2023 |
Sept. 30, 2023 |
C9152 |
Added |
Covered for facility only |
Oct. 1, 2023 |
C9153 |
Added |
Covered for facility only |
Oct. 1, 2023 |
C9154 |
Added |
Covered for facility only |
Oct. 1, 2023 |
C9155 |
Added |
Requires manual review |
Oct. 1, 2023 |
C9156 |
Added |
Covered for facility only |
Oct. 1, 2023 |
C9157 |
Added |
Requires manual review |
Oct. 1, 2023 |
C9158 |
Added |
Covered for facility Only |
Oct. 1, 2023 |
Injections
Code |
Change |
Coverage comments |
Effective date |
J0349 |
Added |
Covered |
Oct. 1, 2023 |
J0800 |
Delete |
Deleted Sept. 30, 2023 |
Sept. 30, 2023 |
J0801 |
Added |
Requires manual review |
Oct. 1, 2023 |
J0802 |
Added |
Requires manual review |
Oct. 1, 2023 |
J0874 |
Added |
Covered |
Oct. 1, 2023 |
J0889 |
Added |
Not covered |
Oct. 1, 2023 |
J2359 |
Added |
Covered |
Oct. 1, 2023 |
J2781 |
Added |
Requires manual review |
Oct. 1, 2023 |
J7214 |
Added |
Covered |
Oct. 1, 2023 |
J7519 |
Added |
Covered |
Oct. 1, 2023 |
J9051 |
Added |
Covered |
Oct. 1, 2023 |
J9064 |
Added |
Covered |
Oct. 1, 2023 |
J9345 |
Added |
Covered |
Oct. 1, 2023 |
Surgery/Drugs Administered Other Than Oral Method
Code |
Change |
Coverage comments |
Effective date |
J7353 |
Added |
Covered |
Oct. 1, 2023 |
Behavioral Health
Code |
Change |
Coverage comments |
Effective date |
H2040 |
Added |
Covered |
Oct. 1, 2023 |
H2041 |
Added |
Covered |
Oct. 1, 2023 |
Durable Medical Equipment
Code |
Change |
Coverage comments |
Effective date |
A9156 |
Added |
Not covered |
Oct. 1, 2023 |
A9268 |
Added |
Not covered |
Oct. 1, 2023 |
A9269 |
Added |
Not covered |
Oct. 1, 2023 |
B4148 |
Added |
Covered |
Oct. 1, 2023 |
K1036 |
Added |
Not covered |
Oct. 1, 2023 |
Prosthetic and Orthotic
Code |
Change |
Coverage comments |
Effective date |
L1681 |
Added |
Covered |
Oct. 1, 2023 |
L5991 |
Added |
Covered |
Oct. 1, 2023 |
V2526 |
Added |
Covered |
Oct. 1, 2023 |
Surgery/Skin Substitutes
Code |
Change |
Coverage comments |
Effective date |
A2022 |
Added |
Covered |
Oct. 1, 2023 |
A2023 |
Added |
Covered |
Oct. 1, 2023 |
Q4285 |
Added |
Not covered |
Oct. 1, 2023 |
Q4286 |
Added |
Not covered |
Oct. 1, 2023 |
Other Medical Services
Code |
Change |
Coverage comments |
Effective date |
A9292 |
Added |
Experimental |
Oct. 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. |
