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May 2025
2025 HCPCS 1st-quarter update: New, deleted codes
The Centers for Medicare & Medicaid Services has added several new codes as part of its quarterly Healthcare Common Procedure Coding System updates. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.
Outpatient prospective payment system, or OPPS/radiology
Code |
Change |
Coverage comments |
Effective date |
C8004 |
Added |
Not covered |
April 1, 2025 |
OPPS/surgery
Code |
Change |
Coverage comments |
Effective date |
C8005 |
Added |
Not covered |
April 1, 2025 |
Surgery/skin substitute
Code |
Change |
Coverage comments |
Effective date |
A2030 |
Added |
Not covered |
April 1, 2025 |
A2031 |
Added |
Not covered |
April 1, 2025 |
A2032 |
Added |
Not covered |
April 1, 2025 |
A2033 |
Added |
Not covered |
April 1, 2025 |
A2034 |
Added |
Not covered |
April 1, 2025 |
A2035 |
Added |
Not covered |
April 1, 2025 |
Q4231 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Q4354 |
Added |
Not covered |
April 1, 2025 |
Q4355 |
Added |
Not covered |
April 1, 2025 |
Q4356 |
Added |
Not covered |
April 1, 2025 |
Q4357 |
Added |
Not covered |
April 1, 2025 |
Q4358 |
Added |
Not covered |
April 1, 2025 |
Q4359 |
Added |
Not covered |
April 1, 2025 |
Q4360 |
Added |
Not covered |
April 1, 2025 |
Q4361 |
Added |
Not covered |
April 1, 2025 |
Q4362 |
Added |
Not covered |
April 1, 2025 |
Q4363 |
Added |
Not covered |
April 1, 2025 |
Q4364 |
Added |
Not covered |
April 1, 2025 |
Q4365 |
Added |
Not covered |
April 1, 2025 |
Q4366 |
Added |
Not covered |
April 1, 2025 |
Q4367 |
Added |
Not covered |
April 1, 2025 |
Medical/surgical supplies
Code |
Change |
Coverage comments |
Effective date |
A6515 |
Added |
Covered |
April 1, 2025 |
A6516 |
Added |
Covered |
April 1, 2025 |
A6517 |
Added |
Covered |
April 1, 2025 |
A6518 |
Added |
Covered |
April 1, 2025 |
A6519 |
Added |
Covered |
April 1, 2025 |
A6611 |
Added |
Covered |
April 1, 2025 |
A9154 |
Added |
Not covered |
April 1, 2025 |
A9155 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Medical and surgical supplies/radiopharmaceuticals
Code |
Change |
Coverage comments |
Effective date |
A9611 |
Added |
Covered |
April 1, 2025 |
Durable medical equipment
Code |
Change |
Coverage comments |
Effective date |
E0201 |
Added |
Not covered |
April 1, 2025 |
E1022 |
Added |
Not covered |
April 1, 2025 |
E1023 |
Added |
Not covered |
April 1, 2025 |
E1032 |
Added |
Covered |
April 1, 2025 |
E1033 |
Added |
Covered |
April 1, 2025 |
E1034 |
Added |
Covered |
April 1, 2025 |
E1832 |
Added |
Covered |
April 1, 2025 |
Temporary national codes (non-Medicare)/durable medical equipment
Code |
Change |
Coverage comments |
Effective date |
S4988 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Prosthetic procedures
Code |
Change |
Coverage comments |
Effective date |
L5827 |
Added |
Covered |
April 1, 2025 |
L6028 |
Added |
Covered |
April 1, 2025 |
L6029 |
Added |
Covered |
April 1, 2025 |
L6030 |
Added |
Covered |
April 1, 2025 |
L6031 |
Added |
Covered |
April 1, 2025 |
L6032 |
Added |
Covered |
April 1, 2025 |
L6033 |
Added |
Covered |
April 1, 2025 |
L6037 |
Added |
Covered |
April 1, 2025 |
L6700 |
Added |
Not covered |
April 1, 2025 |
L7406 |
Added |
Covered |
April 1, 2025 |
L8010 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Orthotic procedures
Code |
Change |
Coverage comments |
Effective date |
L0720 |
Added |
Covered |
April 1, 2025 |
L1933 |
Added |
Covered |
April 1, 2025 |
L1952 |
Added |
Covered |
April 1, 2025 |
Injections/chemotherapy
Code |
Change |
Coverage comments |
Effective date |
C9302 |
Added |
Covered |
April 1, 2025 |
C9303 |
Added |
Covered |
April 1, 2025 |
J9024 |
Added |
Covered |
April 1, 2025 |
J9054 |
Added |
Covered |
April 1, 2025 |
J9247 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Injections
Code |
Change |
Coverage comments |
Effective date |
C9300 |
Added |
Covered |
April 1, 2025 |
C9301 |
Added |
Covered |
April 1, 2025 |
C9304 |
Added |
Covered |
April 1, 2025 |
J0281 |
Added |
Covered |
April 1, 2025 |
J1072 |
Added |
Covered |
April 1, 2025 |
J1094 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
J1271 |
Added |
Covered |
April 1, 2025 |
J1299 |
Added |
Covered |
April 1, 2025 |
J1300 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
J1308 |
Added |
Covered |
April 1, 2025 |
J1808 |
Added |
Covered |
April 1, 2025 |
J1810 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
J1890 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
J1938 |
Added |
Covered |
April 1, 2025 |
J1940 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
J2351 |
Added |
Covered |
April 1, 2025 |
J2428 |
Added |
Covered |
April 1, 2025 |
J2804 |
Added |
Covered |
April 1, 2025 |
J2865 |
Added |
Covered |
April 1, 2025 |
J7521 |
Added |
Covered |
April 1, 2025 |
J9037 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
J9038 |
Added |
Covered |
April 1, 2025 |
J9161 |
Added |
Covered |
April 1, 2025 |
Q2057 |
Added |
Covered |
April 1, 2025 |
Q5139 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Q5147 |
Added |
Covered |
April 1, 2025 |
Q5148 |
Added |
Covered |
April 1, 2025 |
Q5149 |
Added |
Covered |
April 1, 2025 |
Q5150 |
Added |
Covered |
April 1, 2025 |
Q5151 |
Added |
Covered |
April 1, 2025 |
Q5152 |
Added |
Covered |
April 1, 2025 |
Q9999 |
Added |
Covered |
April 1, 2025 |
S0017 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
S0028 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
S0032 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
S0039 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Procedures/professional services (temporary)/pathology and laboratory
Code |
Change |
Coverage comments |
Effective date |
G0567 |
Added |
Covered |
June 27, 2024 |
Procedures/professional services (temporary)/radiology
Code |
Change |
Coverage comments |
Effective date |
G0183 |
Added |
Not covered |
April 1, 2025 |
G0566 |
Added |
Not covered |
April 1, 2025 |
Procedures/professional services (temporary)/surgery
Code |
Change |
Coverage comments |
Effective date |
G0564 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
G0565 |
Deleted |
Deleted March 31, 2025 |
March 31, 2025 |
Radiology procedures
Code |
Change |
Coverage comments |
Effective date |
S4024 |
Add |
Not covered |
April 1, 2025 |
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. |
