HCPCS Changes — 2020-Q4

16 new • 0 revised • 177 deleted

New Codes (16)

Code Description
C9055 Inj, brexanolone
C9059 Injection, meloxicam
C9061 Injection, teprotumumab-trbw
C9063 Injection, eptinezumab-jjmr
C9768 Endo us-guide hep porto grad
E0880 Trac stand free stand extrem
G0396 Alcohol/subs interv 15-30mn
G0397 Alcohol/subs interv >30 min
G2011 Alcohol/sub misuse assess
J3032 Inj. eptinezumab-jjmr 1 mg
J3241 Inj. teprotumumab-trbw 10 mg
J7351 Inj bimatoprost itc imp1mcg
J9227 Inj. isatuximab-irfc 10 mg
J9304 Inj. pemetrexed, 10 mg
J9305 Inj. pemetrexed nos 10mg
T2047 Hab prevo waiver per 15

Deleted Codes (177)

Code Description
G2089 A1c level 7 to 9%
G2119 Calc vitd opt
G9301 Doc compl inf antibio
C9060 Fluoroestradiol f18
C9062 Daratumumab hyaluronidase
C9064 Mitomycin pyelocalyceal inst
C9066 Sacituzumab govitecan-hziy
C9745 Nasal endo eustachian tube
C9747 Ablation, hifu, prostate
C9749 Repair nasal stenosis w/imp
G0297 Ldct for lung ca screen
G1005 Cdsm nia
G1006 Cdsm test approp
G2058 Ccm add 20min
G2061 Qual nonmd est pt 5-10m
G2062 Qual nonmd est pt 11-20m
G2063 Qual nonmd est pt 21>min
G2102 Dil retinal eye exam
G2103 7 stereo photos interpret
G2104 Eye img valid w/7 stereo
G2114 Pt 66-80 frailty and med dem
G2117 Pt 66-80 frailty and adv ill
G2120 No calc vitd opt
G2123 Pt 66-80 frailty med dem
G2124 Pt 66-80 frailty adv ill
G2130 Pt 66+ lt inst > 90
G2131 Pt 81+ frailty
G2132 Pt 66-80 frailty and med dem
G2133 Pt 66-80 frailty and adv ill
G2134 Pt 66+ frailty and med dem
G2135 Pt 66+ frailty and adv ill
G2153 Hosp dur meas pd
G2154 Td 9 yrs start end meas
G2155 Hist contraindications
G2156 No prior td or hx contra
G2157 Pneum vacc 12 mo 60+
G2158 Pneum vacc adv rx
G2159 No pneum vacc 12 mo 60+
G2160 Herpzos 50+
G2161 Adv rx zos
G2162 No herpzos 50+
G2163 Infl vacc 07/01 to 06/30
G2164 Adv rx infl vacc
G2165 No infl vacc 07/01 to 06/30
G2166 No pt adm dx no neck fs prom
G8398 Dil macular/fundus not perfo
G8442 Doc pain as nt perf, not elg
G8509 Pos pain assess no f/u doc
G8571 Ster wd ifx 30 d postop
G8572 No ster wd ifx
G8573 Stk cabg
G8574 No strk cabg
G8627 Surg proc w/in 30 days
G8628 No surg proc w/in 30 days
G8671 Rafscrs goi scor >= 0
G8672 Rafscrs goi scor < 0
G8674 Rafscrs neck, no msr/no foto
G8730 Pain doc pos and plan
G8731 Pain neg no plan
G8732 No doc of pain
G8809 Rh-immunoglobulin order
G8810 Doc reas no rh-immuno
G8811 No rh-immunoglobulin order
G8872 Intraop image confirm excise
G8873 Specimen not intraop image
G8874 Tissue not image intraop
G8939 Pain as doc positive, no f/u
G8959 Clin tx mdd comm to tx clin
G8960 Clin tx mdd not comm
G8973 Mst rcnt hbb < 10g/dl
G8974 Hgb not doc rns not gvn
G8975 Hgb <10g/dl, med rsn
G8976 Hgb >= 10 g/dl
G9232 Ptrsn no comm comorbid
G9239 Doc rsn hemod & cath acc
G9240 Doc pt w cath maint dia
G9241 Doc pt w out cath maint dia
G9256 Doc of pat death after cas
G9257 Doc of pat stroke after cas
G9258 Doc of pat stroke after cea
G9259 Survive/no stroke post cas
G9260 Doc of pat death after cea
G9261 Survive/no stroke post cea
G9262 Doc of death post-aaa repair
G9263 Doc of disch post-aaa repair
G9264 Doc rsn hemod w/cath >=90d
G9265 Doc cath >90d for maint dia
G9266 Norsn pt cath >=90d
G9300 Doc medrsn no compl antibio
G9302 Norsn incomp inf antibio
G9303 Norsn no pros info op rpt
G9304 Pros info op rpt
G9326 Ct done no rad ds index, nrg
G9327 Ct done rad ds index
G9329 Norsn no dicom format doc
G9340 Dicom format doc on rpt
G9365 1high risk med ord
G9366 1high risk no ord
G9389 Unpln rup post cap
G9390 No unpln rup post cap
G9469 Rec cortico>90d or 1rx 900mg
G9503 Pt tk tams hcl
G9523 D/c hemo or perit dialysis
G9524 Refer to hospice
G9525 Doc pt reas no hospice refer
G9526 No reason, no refer hospice
G9532 Pt hd ct ord
G9558 Tx beta-lactam abx therapy
G9559 Doc med reas no abx therapy
G9560 No beta-lactam abx ther, rng
G9573 Adl pt md or dys rem 6 mon
G9574 Adl pt md dys no rem 6 mon
G9600 Symp aaa urgent repair
G9601 Pt dchg home post op day 7
G9602 Pt no dchg home postop day 7
G9615 Pre-op asst doc
G9616 Doc rsn no preop assmt
G9617 Pre-op asst not doc, rng
G9701 Child anbx 30 prior dx estab
G9738 Refused to participate
G9739 Pt unbl cmplt go fs prom
G9747 Pall dialysis with catheter
G9748 App transpl lvg kidney donor
G9749 Pall dialysis with catheter
G9750 App transpl lvg kidney donor
G9759 Hx preop post cap rup
G9798 D/c ami btw 7/1-6/30 meas pd
G9799 Med disp evt indic hx asth
G9800 Pt id intol/alleg beta-block
G9801 Nonacut transf from inpt
G9802 Pt w/hosp anytime msmt per
G9803 Pt presc 135 day trmt
G9804 Pt not presc 135 day trmt
G9814 Death during index hosp
G9815 Death not during index hosp
G9816 Death <30 day post discharge
G9817 No death 30-days post-disch
G9825 Her-2 neg,undoc/unkn
G9826 Transf pract aft init chemo
G9827 Her-2 targ ther no init tx
G9828 Her-2 targ ther dur init tx
G9829 Breast adj chemo admin
G9833 Transf pract aft init chemo
G9834 Pt met dis at dx
G9835 Trastuz given w/in 12 mos dx
G9836 Rsn no trast given doc
G9837 Trastuz not in 12 mos dx
G9849 Pt died from cancer
G9850 1/more ed last 30d life
G9851 1/no ed visit last 30d life
G9855 Pt died from cancer
G9856 Pt no hospice
G9857 Pt admit hospice
G9924 Doc med rsn no scrn or recs
G9933 Canc detectd during col scrn
G9934 Doc rsn not detecting cancer
G9935 Canc not detectd during srcn
G9936 Pmh plyp/neo co/rect/jun/ans
G9937 Dig or surv colsco
G9966 Scrn, inter, report child
G9967 No scrn, inter, reprt child
M1015 Dc eoc doc med rec
M1023 Adl pt mj dep ds rs 6 phq<5
M1024 Adl pt mj dep ds no rs 6 mo
M1033 Pharmthry for oud afr 6.30
M1061 Pt preg
M1062 Pt imcomprmd
M1063 Pt rec hg dos imsup thpy
M1064 Shing vac doc adm or pv rec
M1065 Shing vac no adm clinc rsn
M1066 Shing vac no doc no rsn
M1136 Start eoc doc med rec
M1137 Docu dx degen neuro
M1138 Oc ni pt 1-2 vis
M1139 Oc ni pt self dc 1-2 vis
M1140 Oc ni pt dc 1-2 vis
M1144 Oc no ind pt 1-2 vis