HCPCS Changes — 2021-Q1

277 new • 0 revised • 12 deleted

New Codes (277)

Code Description
G2089 A1c level 7 to 9%
G2119 Calc vitd opt
G9301 Doc compl inf antibio
G9537 Img hd clin trial
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
C9772 Revasc lithotrip tibi/perone
C9773 Revasc lithotr-stent tib/per
C9774 Revasc lithotr-ather tib/per
C9775 Revasc lith-sten-ath tib/per
G0068 Adm iv infusion drug in home
G0069 Adm sq infusion drug in home
G0070 Adm of chemo drug in home
G0088 Adm iv drug 1st home visit
G0089 Adm subq drug 1st home visit
G0090 Adm iv chemo 1st home visit
G0235 Pet not otherwise specified
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
G2105 Pt 66+ snp or ltc pos > 90d
G2184 No caregiver
G2114 Pt 66-80 frailty and med dem
G2115 Pt 66-80 frailty and med dem
G2117 Pt 66-80 frailty and adv ill
G2118 Pt 81+ frailty
G2120 No calc vitd opt
G2123 Pt 66-80 frailty med dem
G2124 Pt 66-80 frailty adv ill
G2125 Pt 81+ frailty
G2127 Pt 66-80 frailty and med dem
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
G2151 Dx degen neuro
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
G2176 Outpt ed obs w inpt admit
G2178 Pt not elig low neuro ex
G2179 Med doc rsn no low ex
G2180 Inelig footwr eval
G2181 Bmi not doc medrsn ptref
G2183 Doc pt unable comm
G2185 Caregiver dem trained
G2186 Pt ref app rsrcs
G2187 Clin ind img hd trauma
G2188 Pt 50 yrs w/clin ind hd
G2189 Img hd abnml neuro exam
G2190 Ind img hd rad neck
G2191 Ind img hd pos hd ache
G2192 >55 yrs temp hd ache
G2193 <6yr new onset hd ache
G2194 New hdache ped pt dis
G2195 Occip hdache child
G2196 Screen unhlthy etoh use
G2197 Screen hlthy etoh use
G2200 Unhlthy etoh rcvd couns
G2205 Preg drng adjv trtmt
G2206 Adjv trtmt chemo her2
G2208 No trtmt chemo and her2
G2209 Refused to participate
G2213 Initiat med assist tx in er
G2214 Init/sub psych care m 1st 30
G2216 Home supply inject naloxon
G2250 Remot img sub by pt, non e/m
G2251 Brief chkin, 5-10, non-e/m
G2252 Brief chkin by md/qhp, 11-20
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
G8709 Uri ep compete diag
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
G9299 No eval risk vte card prior
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
G9550 Imag rec
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
G9642 Current smoker
G9661 Pt >= 86 w/ hi risk
G9701 Child anbx 30 prior dx estab
G9722 Doc hx renal fail or cr+ >=4
G9727 Pt unable cmplt lepf prom
G9729 Pt unbl cmplt lepf prom
G9731 Pt unbl cmplt lepf prom
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
G9898 Pt 66+ snp or ltc pos > 90d
G9901 Pt 66+ snp or ltc pos > 90d
G9910 Pt 66+ snp or ltc pos > 90d
G9924 Doc med rsn no scrn or recs
G9931 No chad or chad scr 0 or 1
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
G9945 Pt w/cancer scoliosis
G9966 Scrn, inter, report child
G9967 No scrn, inter, reprt child
J1823 Inj. inebilizumab-cdon, 1 mg
J7189 Factor viia recomb novoseven
J7212 Factor viia recomb sevenfact
J7352 Afamelanotide implant, 1 mg
J9144 Daratumumab, hyaluronidase
J9198 Inj. infugem, 100 mg
J9223 Inj. lurbinectedin, 0.1 mg
J9281 Mitomycin instillation
J9316 Pertuzu, trastuzu, 10 mg
J9317 Sacituzumab govitecan-hziy
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
M1041 Pt cr ft inf lm or pt id sl
M1045 Fs oks 9-15mo >= 37 >= 71
M1046 Fs oks 9-15mo < 37 < 71
M1051 Pt w/cancer scoliosis
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
M1108 Oc ni pt home prog
M1109 Oc ni pt dc
M1110 Oc not p pt selfdc
M1113 Oc ni pt home prog
M1114 Oc ni pt dc
M1115 Oc ni pt selfdc
M1118 Oc ni pt home prog
M1119 Oc ni pt dc
M1120 Oc ni pt selfdc
M1123 Oc ni pt home prog
M1124 Oc ni pt dc 1-2 vis
M1125 Oc ni pt selfdc 1-2 vis
M1128 Oc ni pt home prog
M1129 Oc ni pt dc
M1130 Oc ni pt selfdc
M1132 Oc ni pt home prog
M1133 Oc ni pt dc
M1134 Oc ni pt selfdc
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
M1141 Fs no oks
M1144 Oc no ind pt 1-2 vis
M1146 Ongoing care not ind
M1147 Care not poss med rsn
M1148 Pt self dschg
M1149 No neck fs prom incap

Deleted Codes (12)

Code Description
C9068 Copper cu-64, dotatate, dx
C9069 Belantamab mafodontin-blmf
C9070 Injection, tafasitamab-cxix
C9071 Injection, viltolarsen
C9072 Inj, imm glob asceniv
C9073 Brexucabtagene autoleucel ca
C9122 Mometasone furoate (sinuva)
J7333 Visco-3 inj dose
J7401 Mometasone furoate sinus imp
K1010 Intraurethral drainag device
K1011 Acti intraurethral drainage
K1012 Charger base station intraur