HCPCS Changes — 2022-Q1

192 new • 7 revised • 6 deleted

New Codes (192)

Code Description
A2004 Xcellistem, 1 mg
A4397 Irrigation supply sleeve
A4436 Irr supply sleev reus per mo
A4437 Irr supply sleev disp per mo
G4023 Pathology ss
A9595 Piflu f-18, dia 1 millicurie
C1832 Auto cell process sys
C1833 Cardiac monitor sys
C9081 Idecabtagene car pos t
C9082 Inj dostarlimab-gxly, 100 mg
C9083 Inj, amivantamab-vmjw, 10 mg
C9462 Injection, delafloxacin
C9752 Intraosseous des lumb/sacrum
C9753 Intraosseous destruct add'l
C9777 Esophag muc integ w/eso egd
E1629 Tablo for dialysis service
G0031 Pall serv during meas
G0032 2+ antipsy schiz
G0033 2+ benzo seiz
G0034 Pall serv during meas
G0035 Pt ed pos 23
G0036 Pt/ptn decln assess
G0037 Pt not able to participate
G0038 Clin pt no ref
G0039 Pt no ref, rn spec
G0040 Pt phys/occ therapy
G0041 Pt/ptn decln referral
G0042 Ref to therapy
G0043 Pt mech pros ht valv
G0044 Pt mitral stenosis
G0045 Mrs 90 days post stk
G0046 No mrs 90 days post stk
G0047 Ped blunt hd traum
G0048 Pall serv during meas
G0049 Main hemo in-cntr
G0050 Pt w/ lmted life expec
G0051 Pt hospice mnth
G0052 Pt peri dialysis dur mo
G0053 Adv rheum pt care mvp
G0054 Strk cr prev pos outcme mvp
G0055 Adv care heart dx mvp
G0057 Best pct pt safety em mvp
G0058 Imprv care le jnt repr mvp
G0059 Pt sfty pos exp w aneth mvp
G0060 Allergy/immunology ss
G0061 Anesthesiology ss
G0062 Audiology ss
G0063 Cardiology ss
G0064 Cert nurse midwife ss
G0065 Chiropractic ss
G0066 Clinical social work ss
G0067 Dentistry ss
G4028 Podiatry ss
G0424 Pulmonary rehab w exer
G1025 Pt mnth 1 mcp prov
G1026 Pt hemo > 3mo
G1027 Pt hemo < 3mo
G1028 Take home supply 8mg per 0.1
G2064 Md mang high risk dx 30
G2065 Clin mang h risk dx 30
G2081 Pt 66+ snp or ltc pos > 90d
G2097 Dx uri 3d after other dx
G2106 Pt 66+ frailty and med dem
G2121 Psy dep anx ap and icd asse
G2122 Psy/dep/anx/apandicd noasse
G2142 Fs odi 9-15mo postop<= 22
G2143 Fs odi 9-15mo > 22
G2144 Fs odi 6-20wk postop <= 22
G2145 Fsodi 6-20wk >22 or chg 30pt
G2148 Mpm used
G2150 No mpm
G2173 Uri w comorb 12m oth dx
G2175 Pt comorb dx 12m of epi
G2177 Bronch w rx antibx 30d
G2215 Home supply nasal naloxone
G4000 Dermatology ss
G4001 Diagnostic rad ss
G4002 Ep cardio ss
G4003 Emergency med ss
G4004 Endocrinology ss
G4005 Family medicine ss
G4006 Gastroenterology ss
G4007 General surgery ss
G4008 Geriatrics ss
G4009 Hospitalists ss
G4010 Infectious disease ss
G4011 Internal medicine ss
G4012 Interventional rad ss
G4014 Nephrology ss
G4015 Neurology ss
G4016 Neurosurgical ss
G4017 Nutrition/dietician ss
G4018 Ob/gyn ss
G4019 Oncology/hema ss
G4021 Orthopedic surgery ss
G4022 Otolaryngology ss
G4024 Pediatrics ss
G4025 Physical medicine ss
G4026 Phys/occ therapy ss
G4027 Plastic surgery ss
G4029 Preventive medicine ss
G4030 Pulmonology ss
G4031 Radiation oncology ss
G4032 Rheumatology ss
G4033 Skilled nursing facility ss
G4034 Speech language path ss
G4035 Thoracic surgery ss
G4036 Urgent care ss
G4037 Urology ss
G4038 Vascular surgery ss
G8422 Pt inelig bmi calculation
G8433 Scr for dep not cpt doc rsn
G8925 Spir fev1/fvc>=60% & no copd
G8926 Spiro no perf or doc
G8938 Bmi doc onl fup nt doc
G8950 Pre-htn or htn doc, f/u indc
G8952 Pre-htn/htn, no f/u, not gvn
G8967 Warf or other fda drug presc
G8969 Doc pt rsn no presc warf/fda
G9267 Doc comp or mort w in 30d
G9268 Doc comp or mort w in 90d
G9269 Doc no comp or mort w in 30d
G9270 Doc no comp or mort w in 90d
G9348 Doc rsn for ord ct scan
G9349 Ct within 28 days
G9350 No doc sinus ct 28d or dx
G9355 No early ind/delivery
G9356 Early ind/delivery
G9361 Doc rsn elect c-sec/induct
G9367 >= 2 same hi-rsk med ord
G9368 >= 2 same hi-rsk med not ord
G9399 Doc disc tx choices
G9400 Doc reas no disc tx opt
G9401 No disc tx choices
G9419 Med reas not incl histo type
G9421 Lung cx bx rpt no doc class
G9422 Rpt doc class histo type
G9425 Spec rpt no doc class histo
G9428 Patho rpt incl pt ctg
G9429 Doc med rsn no pt cat
G9431 Patho rpt no pt ctg
G9448 Born 1945-1965
G9449 Hx bld transf b/f 1992
G9450 Hx injec drug use
G9554 Ct/cta/mri/a chst foll rec
G9556 Ct/cta/mri/a no follup imag
G9557 Ct/cta/mri/a no thyr <1.0cm
G9561 Presc opiates >6 wks
G9562 Foll-up eval q3mo opiod tx
G9563 No f/u eval q3mo opiod tx
G9577 Presc opiates >6 wks
G9578 Doc opioid tx 1x during ther
G9579 No doc opioid tx 1x at ther
G9580 Door to punc time <2hrs
G9582 Door to punc time >2hr, nrg
G9583 Presc opiates >6 wks
G9584 Eval opioid use instr/pt int
G9585 No eval opi use instr/intv
G9627 Pt no bl srg 30 day pst srg
G9634 Qual life tool 2x same/impr
G9635 No doc rsn do qual life assm
G9636 No life asst 2x same/decr
G9639 Amp no reqd in48h ieler proc
G9640 Doc plan hybrid/stage proc
G9641 Amp reqd w/in 48h ieler proc
G9647 No mrs score in 90d followup
G9666 Fas/dir ldl 70-189mg/dl mst
G9716 Bmi doc onl fup not cmpltd
G9782 Hx dx fam/pure hypercholes
G9783 Doc dx dm, fast <70, no stat
G9822 Endo abl proc yr prev ind dt
G9823 Endo smpl/hyst bx res doc
G9824 Endo smpl/hyst bx res no doc
G9928 No warf or fda drug presc
G9988 Pall serv during meas
G9992 Pall serv during meas
G9994 Pall serv during meas
G9996 Doc pt pal or hospice
G9997 Doc pt preg dur msrmt pd
J0599 Inj., haegarda 10 units
J1453 Fosaprepitant injection
J2505 Injection, pegfilgrastim 6mg
J2798 Inj., perseris, 0.5 mg
J3243 Tigecycline injection
J9021 Inj, aspara, rylaze, 0.1 mg
J9061 Inj, amivantamab-vmjw
J9272 Inj, dostarlimab-gxly, 10 mg
M1022 Pt hospice during perf pd
M1025 Pt hospice during perf pd
M1026 Pt hospice during perf pd
M1031 Pt clin ind img hd
M1145 Mfn drug add-on, per dose

Revised Codes (7)

Code Old Description New Description
C9777 Esophag mucosal integ add-on Esophag muc integ w/eso egd
G0460 Autologous prp for ulcers Autolog prp not diab ulcer
G2106 Pt 66+ lt ints > 90 Pt 66+ frailty and med dem
G8711 Pres antibiotic Pres antibx on/within 3 day
J9037 Inj belantamab mafodont blmf Inj belantamab mafodot blmf
K1013 Enema tube, any, replac only Enema tube any type repl
M0243 Casirivi and imdevi infusion Casirivi and imdevi inj

Deleted Codes (6)

Code Description
C9084 Loncastuximab-lpyl, 0.1 mg
C9085 Inj avalglucosid alfa-ngpt
C9086 Inj, anifrolumab-fnia
C9087 Inj cyclophosphamd auromedic
G1009 Cdsm sage health
M1145 Mfn drug add-on, per dose