HCPCS Changes — 2023-Q1

268 new • 18 revised • 3 deleted

New Codes (268)

Code Description
M1199 Pt rec'g rrt
A4238 Adju cgm supply allowance
A4239 Non-adju cgm supply allow
A9276 Disposable sensor, cgm sys
A9277 External transmitter, cgm
A9278 External receiver, cgm sys
C1734 Orth/devic/drug bn/bn,tis/bn
C1747 Endo, single, urinary tract
C1823 Gen, neuro, trans sen/stim
C1824 Generator, ccm, implant
C1826 Gen, neuro, clo loop, rechg
C1827 Gen, neuro, imp led, ex cntr
C1831 Personalized interbody cage
C1839 Iris prosthesis
C1841 Retinal prosth int/ext comp
C1842 Retinal prosth, add-on
C1849 Skin substitute, synthetic
C2596 Probe, robotic, water-jet
C7501 Perc bx breast lesions stero
C7502 Perc bx breast lesions mr
C7503 Open exc cerv node(s) w/ id
C7504 Perq cvt&ls inj vert bodies
C7505 Perq ls&cvt inj vert bodies
C7506 Fusion of finger joints
C7507 Perq thor&lumb vert aug
C7508 Perq lumb&thor vert aug
C7509 Dx bronch w/ navigation
C7510 Bronch/lavag w/ navigation
C7511 Bronch/bpsy(s) w/ navigation
C7512 Bronch/bpsy(s) w/ ebus
C7513 Cath/angio dialcir w/aplasty
C7514 Cath/angio dial cir w/stents
C7515 Cath/angio dial cir w/embol
C7516 Cor angio w/ ivus or oct
C7517 Cor angio w/ilic/fem angio
C7520 Cor/gft angio w/ilic/fem ang
C7521 R hrt angio w/ ivus or oct
C7522 R hrt angio w/flow resrv
C7523 L hrt angio w/ ivus or oct
C7524 L hrt angio w/flow resrv
C7525 L hrt gft ang w/ ivus or oct
C7526 L hrt gft ang w/flow resrv
C7527 R&l hrt angio w/ ivus or oct
C7528 R&l hrt angio w/flow resrv
C7529 R&l hrt gft ang w/flow resrv
C7530 Cath/aplasty dial cir w/stnt
C7531 Angio fem/pop w/ us
C7532 Angio w/ us non-coronary
C7533 Ptca w/ plcmt brachytx dev
C7535 Fem/pop revasc w/stent & us
C7537 Insrt atril pm w/l vent lead
C7538 Insrt vent pm w/l vent lead
C7539 Insrt a & v pm w/l vent lead
C7540 Rmv&rplc pm dul w/l vnt lead
C7545 Exch bil cath w/ rmv calculi
C7547 Cnvrt neph cath w/ dil stric
C7548 Exch neph cath w/ dil stric
C7550 Cysto w/ bx(s) w/ blue light
C7551 Exc neuroma w/ implnt nv end
C7554 Cystureth blu li cyst fl img
C7902 Hopd mntl hlt, ea addl
C9046 Cocaine hcl nasal (goprelto)
C9142 Inj, alymsys, 10 mg
C9143 Cocaine hcl nasal (numbrino)
C9761 Cysto, litho, vacuum kidney
E2102 Adju cgm receiver/monitor
E2103 Non-adju cgm receiver/mon
G0028 Doc med rsn no scr tob
G0029 No tob scr/cess int
G0030 Pt scr tob & cess int
G0308 180 d implant glucose sensor
G0309 Rem/inser glu sensor dif sit
G0316 Prolong inpt eval add15 m
G0317 Prolong nursin fac eval 15m
G0318 Prolong home eval add 15m
G0320 Two-way audio and video hhs
G0321 Audio-only hhs
G0322 Home h physio data collec tr
G0442 Annual alcohol screen 15 min
G0444 Depression screen annual
G0917 Care survey not complete
G2095 Sys rsn no ace arn arni
G2136 Bk pain vas 6-20wk <= 3
G2138 Bk pain vas 9-15mo <= 3
G2140 Leg pain vas 6-20wk <= 3
G2146 Leg pain vas 9-15mo <= 3
G2152 Res change sc >=0
G2167 Res change sc < 0
G2170 Avf by tissue w thermal e
G2171 Avf use magnetic/art/ven
G2182 Pt 1st biolog antirheum
G2198 Med rsn no unhlthy etoh
G2199 Not scrn etoh no rsn
G2201 Med rsn no brief couns
G2202 No rsn no brief couns
G2203 Med rsn no etoh couns
G2204 Pt 45-85 w/ scope
G2207 Rsn no trtmt chem her2
G2210 No neck fs prom no rsn
G2212 Prolong outpt/office vis
G3002 Chronic pain mgmt 30 mins
G3003 Chronic pain mgmt addl 15m
G4013 Mntal/behav/psych hlth ss
G4020 Ophthalmology/optometry ss
G8451 Pt w/abn lvef inelig b-bloc
G8539 Doc funct and care plan
G8543 Cur funct asses; no care pln
G8600 Tpa initi w/in 4.5 hr
G8602 No tpa init w/in 4.5 hr
G8633 Pharm ther osteo rx
G8647 Rafscrs ki scor >= 0
G8648 Rafscrs ki scor < 0
G8650 Rafs crs ki no scor no rsn
G8651 Rafscrs hi scor >=0
G8652 Rafscrs hi scor < 0
G8654 Rafs crs hi no scor no surv
G8655 Rafscrs llfai scor >= 0
G8656 Rafscrs llfai scor < 0
G8658 Rafscrs llfai no scor + surv
G8659 Rafscrs lbi scor >= 0
G8660 Rafscrs lbi scor < 0
G8662 Rafs crs lbi no scor no surv
G8663 Rafscrs si scor >= 0
G8664 Rafscrs si scor < 0
G8666 Rafs crs si no scor no surv
G8667 Rafscrs ewh scor >= 0
G8668 Rafscrs ewh scor < 0
G8670 Rafs crs ewh no scor no surv
G8708 Antibiotic not pres
G8710 Pt pres antibiotic
G8711 Pres antibx on/within 3 day
G8734 Doc neg eld req
G8826 Pt disch home day #2 evar
G9196 Med reason for no ceph
G9197 Order for ceph
G9198 No order for ceph no reason
G9250 Doc of pain comfort 48hr
G9251 Doc no pain comfort 48hr
G9315 Amox w/wo clav rx
G9359 Neg mgd pos tb notact
G9360 No doc of neg or man pos tb
G9418 Lungcx bx rpt docs class
G9500 Rad expos ind/exp tm doc
G9501 Rad expos ind/exp tm no doc
G9506 Bio imm resp mod presc
G9618 Doc scr uter mal or us/samp
G9620 No scr utr malig/us/samp rng
G9623 Doc med rsn no scr etoh use
G9624 Pt not scrn or no counseling
G9626 Med rsn no rpt bladder inj
G9631 Pt ui srg 30 day pst srg
G9632 Med rsn for no rpt uret inj
G9633 Pt no ui srg 30 day pst srg
G9662 Prior dx/active clin ascvd
G9663 Fast/dir ldl >= 190 mg/dl
G9718 Hospice anytime msmt per
G9774 Pt had hyst
G9778 Pts dx w/pregn
G9781 Doc rsn no statin
G9789 Record bp ip, er, urg/self
G9808 Pt no asthm cont med mst per
G9809 Pt w/hosp anytime msmt per
G9810 Pdc 75% w/asth cont med
G9811 No pdc 75% w/asth cont med
G9847 Pt recd chemo last 14d life
G9848 Pt no chemo last 14d life
G9904 Doc med rsn no tbco scrn
G9905 No pt tbco scrn rng
G9906 Pt recv tbco cess interv
G9907 Doc med rsn no tbco interv
G9908 No pt tbco cess interv rng
G9909 Doc med rsn no tbco interv
G9913 No hbv status assesd and int
G9932 Doc pt rsn no tb scrn recrds
G9942 Adtl spine proc on same date
G9943 Bk pn nt msr vas scl pre/pst
G9946 Bk pain no vas
G9948 Adtl spine proc on same date
G9949 Leg pain no vas
G9968 Pt refrd 2 pvdr/spclst in pp
G9969 Pvdr rfrd pt rprt rcvd
G9970 Pvdr rfrd pt no rprt rcvd
G9989 Med rsn no pneum vax
G9993 Pall serv during meas
J0131 Inj, acetaminophen (nos)
J0207 Amifostine
J0225 Inj, vutrisiran, 1 mg
J0283 Inj, amiodarone (nexterone)
J0470 Dimecaprol injection
J0641 Inj levoleucovorin nos 0.5mg
J0887 Epoetin beta esrd use
J0891 Argatroban nonesrd (accord)
J0894 Decitabine injection
J0898 Argatroban nonesrd (auromed)
J1095 Injection, dexamethasone 9%
J1364 Erythro lactobionate /500 mg
J1437 Inj. fe derisomaltose 10 mg
J1611 Inj glucagon hcl, fresenius
J1830 Interferon beta-1b / .25 mg
J2327 Inj risankizumab-rzaa 1 mg
J2400 Chloroprocaine hcl injection
J2402 Chloroprocaine (clorotekal)
J2510 Penicillin g procaine inj
J2941 Somatropin injection
J9025 Azacitidine injection
J9041 Injection, bortezomib, 0.1mg
J9044 Inj, bortezomib, nos, 0.1 mg
J9048 Inj, bortezomib freseniuskab
J9049 Inj, bortezomib, hospira
J9185 Fludarabine phosphate inj
J9218 Leuprolide acetate injeciton
J9230 Mechlorethamine hcl inj
J9285 Inj, olaratumab, 10 mg
J9394 Inj, fulvestrant (fresenius)
K0553 Ther cgm supply allowance
K0554 Ther cgm receiver/monitor
M0001 Advancing cancer care mvp
M0002 Opt care kidney hlth mvp
M1003 Tb scr 12 mo pri fst bio dz
M1017 Pt admt to palitve serv
M1052 Lg pn not meas w/ vas 1yr po
M1071 Pt had add'l sp pcr perf
M1151 Pt w/ hx trnsplt or lvad
M1152 Pt w/ hx trnsplt or lvad
M1153 Pt w/ dx osteo doe
M1159 Hospc serv dur meas pd
M1160 Pt anphx due to mengb bef 13
M1161 Pt anphx due to dtp bef 13
M1162 Pt enceph due to dtp bef 13
M1163 Pt anphx due to hpv bef 13
M1164 Pt w/ dementia any time
M1165 Pt use hspc dur meas pd
M1166 Path rpt tis spec wle/reexc
M1167 Hspc dur meas pd
M1168 Pt recd flu vax 7/1-6/30
M1169 Doc med rsn no flu vax
M1170 Pt w/o flu vax 7/1-6/30
M1171 Pt recd 1 td/tdap 9yrs prior
M1172 Doc med rsn no td/tdap
M1173 Pt no rec td/tdap 9yrs prior
M1175 Doc med rsn no hzv
M1178 Doc med rsn no pcv
M1180 Pt imm ckpt inhib therapy
M1181 Gr 2 or> dia or gr2 or> col
M1182 Not elg pre ex ibd/uc/crohn
M1183 Doc imm ckpt inhib hld
M1184 Doc med rsn no cst/ist rx
M1185 Imm ckpt inhib not hld no rx
M1186 Pt w/ rx for hspc/plltv care
M1187 Pt w/ esrd
M1188 Pt w/ ckd stg 5
M1189 Doc khe pef w/efgr/uacr
M1190 Doc khe not pef w/efgr/uacr
M1191 Hspc svc any time in meas pd
M1192 Pt w/ dx sq cell ca of esoph
M1193 Rpts w/ imp/con mmr/msi
M1194 Med rsn no imp/con mmr/msi
M1195 Rpt wo imp/con mmr/msi
M1196 Ixv nrs vrs iqa >=4
M1200 Ace-i/arb rx
M1201 Med rsn no ace-i/arb rx
M1202 Pt rsn no ace-i/arb rx
M1203 No rsn ace-i/arb rx
M1204 Ixv nrs vrs iqa >=4
M1209 >=2 same hi-rsk med w/o diag
M1210 >=2 same meds tbl4 not ord
Q5124 Inj. byooviz, 0.1 mg
Q5126 Inj alymsys 10 mg

Revised Codes (18)

Code Old Description New Description
C9046 Cocaine hcl nasal solution Cocaine hcl nasal (goprelto)
G0917 Satisfy survey not complete Care survey not complete
G2204 Pt 50-85 w/ scope Pt 45-85 w/ scope
G4013 Mentl/behav health ss Mntal/behav/psych hlth ss
G4020 Ophthalmology ss Ophthalmology/optometry ss
G8600 Tpa initi w/in 3 hrs Tpa initi w/in 4.5 hr
G8601 No elig tpa init w/in 3 hrs No elig tpa init w/in 4.5 hr
G8602 No tpa init w/in 3 hrs No tpa init w/in 4.5 hr
G8694 Lvef <40% Lvef <=40%
G8734 Doc neg elder mal no plan Doc neg eld req
G8923 Lvef < 40% or lvsd Lvef <= 40% or lvsd
G8934 Lvef <40% or dep lv sys fcn Lvef <=40% or dep lv sys fcn
G9315 Doc first line amox Amox w/wo clav rx
G9626 Med rsn no rpt baldder inj Med rsn no rpt bladder inj
G9927 Doc no warf /fda pt trial Doc no warf /fda pt trial
J0131 Acetaminophen injection Inj, acetaminophen (nos)
J0610 Calcium gluconate injection Calcium glucon (fresenius)
J9041 Inj., velcade 0.1 mg Injection, bortezomib, 0.1mg

Deleted Codes (3)

Code Description
C1834 Pressure sensor system, im
J0610 Calcium glucon (fresenius)
J0611 Calcium glucon (wg critical)