HCPCS Changes — 2024-Q4

62 new • 6 revised • 97 deleted

New Codes (62)

Code Description
C9150 Xe129 xenon, diagnostic
A2028 Micromatrix flex per mg
A4271 Home lancing/test cartridges
A4543 Supply trans elec nerve stim
A4544 Electro nerve stimulator rls
A4545 Suppl accessor tibial stim
A7021 Suppl and access lung expan
A9610 Xe129 xenon, diagnostic
E0469 Lung expans high oscil neb
E0683 Non pneu peristalic comp pmp
E0715 Intravag pelvic floor kegel
E0716 Supp and acces intravag pelv
E0721 Trans elec stim auricular
E0736 Transcut tibial nerv stimula
E0737 Transcut tibial stim by app
E0738 Upper extremity rehab
E0739 Rehab sys active assist rt
E0743 Ext low ext nerve stimu rls
E0767 Intrabuc am rf emf cancer tx
E2513 Sgd accessory, emg sensor
J1170 Hydromorphone injection
J1749 Inj, iloprost, 0.1 mcg
J2001 Lidocaine injection
J2003 Inj, lidocaine hcl, 1 mg
J2004 Inj, lidocaine w epinephrine
J2251 Inj midazolam in 0.9% nacl
J2252 Inj midazolam in 0.8% nacl
J2253 Inj midazolam (seizalam)
J2601 Inj, vasopressin (baxter)
J8520 Capecitabine, oral, 150 mg
J8521 Capecitabine, oral, 500 mg
J8541 Oral, hemady, 0.25 mg
J9172 Docetaxel (docivyx), 1 mg
J9258 Paclitaxel (teva)
L1006 Scoliosis orth sag/ cor
L1652 Ho bi thighcuffs w sprdr bar
L1653 Ho abduction static ots
L1820 Ko elas w/ condyle pads & jo
L1821 Ko elas w/ condyle pads otf
L8720 Ext low ext sens prosthe mec
L8721 Receptor sole l8720 replace
M0220 Tixagev and cilgav inj
M0221 Tixagev and cilgav inj hm
M0222 Bebtelovimab injection
M0223 Bebtelovimab injection home
M0240 Casiri and imdev repeat
M0241 Casiri and imdev repeat hm
M0243 Casirivi and imdevi inj
M0244 Casirivi and imdevi inj hm
M0247 Sotrovimab infusion
M0248 Sotrovimab inf, home admin
P9027 Rbc o2 co2 reduced
Q0220 Tixagev and cilgav, 300mg
Q0221 Tixagev and cilgav, 600mg
Q0222 Bebtelovimab 175 mg
Q0240 Casirivi and imdevi 600 mg
Q0243 Casirivimab and imdevimab
Q0244 Casirivi and imdevi 1200 mg
Q0247 Sotrovimab
Q5133 Inj, tofidence, 1 mg
Q5135 Inj, tyenne, 1 mg
Q5136 Inj. denosumab-bbdz, 1 mg

Revised Codes (6)

Code Old Description New Description
A2024 Resolve matrix per sq cm Resolve or xenopatch sq cm
J2251 Inj midazolam (wg crit care) Inj midazolam in 0.9% nacl
J9172 Docetaxel (ingenus), 1 mg Docetaxel (docivyx), 1 mg
Q0516 Supply fee hiv prep 30-days Supply fee hiv prep oral 30
Q0517 Supply fee hiv prep 60-days Supply fee hiv prep oral 60
Q0518 Supply fee hiv prep 90-days Supply fee hiv prep oral 90

Deleted Codes (97)

Code Description
G9402 Recd f/u w/in 30d disch
C7558 Cor angio/vent w/drug admin
C9169 Inj, nogapendekin pmln 1 mcg
C9170 Inj, tarlatamab-dlle, 1 mg
C9171 Inj, pegulicianine, 1 mg
C9172 Inj, beqvez, per tx dose
C9290 Inj, bupivacaine liposome
C9769 Cysto w/temp pros implant
C9786 Echo cad for hf preserved ef
C9794 Complex simulation w/pet-ct
C9795 Sbrt w/positron emission del
G0106 Colon ca screen;barium enema
G0120 Colon ca scrn; barium enema
G0122 Colon ca scrn; barium enema
G1001 Cdsm evicore
G1002 Cdsm medcurrent
G1003 Cdsm medicalis
G1004 Cdsm ndsc
G1007 Cdsm aim
G1008 Cdsm cranberry pk
G1010 Cdsm stanson
G1011 Cdsm qualified nos
G1012 Cdsm agilemd
G1013 Cdsm evidencecare
G1014 Cdsm inveniqa
G1015 Cdsm reliant
G1016 Cdsm speed of care
G1017 Cdsm healthhelp
G1018 Cdsm infinx
G1019 Cdsm logicnets
G1020 Cdsm curbside
G1021 Cdsm ehealthline
G1022 Cdsm intermountain
G1023 Cdsm persivia
G1024 Cdsm radrite
G2012 Brief check in by md/qhp
G2070 Med assist tx implant
G2071 Med tx remove implant
G2072 Med tx insert/remove imp
G8482 Flu immunize order/admin
G8483 Flu imm no admin doc rea
G8484 Flu immunize no admin
G8965 Csit perf on low chd rsk
G8966 Csit perf sx or high chd rsk
G9403 Doc reas no 30 day f/u
G9404 No 30 day f/u
G9405 Recd f/u w/in 7d dc
G9406 Doc reas no 7d f/u
G9407 No 7d f/u
G9458 Tob user recd cess interv
G9459 Tob non-user
G9460 No tob assess or cess inter
G9707 Pt had hosp dur msmt per
G9751 Pt died w/in 24 mos rpt time
G9760 Pt w/hosp anytime msmt per
G9892 Doc pt rsn no dil mac exam
G9893 No mac exam
G9921 No or part scrn nd rng or os
G9974 Mac exam perf
G9975 Doc med rsn no dil mac exam
G9990 No pneum vax admin 19+
G9991 Pneum vax admin 19+
J0135 Adalimumab injection
J2796 Romiplostim injection
J2806 Inj sincalide, maia, 5 mcg
J9058 Inj apotex/bendamustine 1 mg
J9059 Inj bendamustine, baxter 1mg
J9259 Paclitaxel (american regent)
M0003 Opt care episod neuro mvp
M0220 Tixagev and cilgav inj
M0221 Tixagev and cilgav inj hm
M0222 Bebtelovimab injection
M0223 Bebtelovimab injection home
M0240 Casiri and imdev repeat
M0241 Casiri and imdev repeat hm
M0243 Casirivi and imdevi inj
M0244 Casirivi and imdevi inj hm
M0247 Sotrovimab infusion
M0248 Sotrovimab inf, home admin
M1154 Hospc serv dur meas pd
M1155 Pt anphx due to pneum
M1219 Anphx due to vax
M1264 Pts 75+ dialysis dt
Q0220 Tixagev and cilgav, 300mg
Q0221 Tixagev and cilgav, 600mg
Q0222 Bebtelovimab 175 mg
Q0240 Casirivi and imdevi 600 mg
Q0243 Casirivimab and imdevimab
Q0244 Casirivi and imdevi 1200 mg
Q0247 Sotrovimab
Q0516 Supply fee hiv prep oral 30
Q0517 Supply fee hiv prep oral 60
Q0518 Supply fee hiv prep oral 90
Q0519 Supply fee hiv prep inj 30
Q0520 Supply fee hiv prep inj 60
Q5131 Inj, idacio, 20 mg
Q5132 Inj, abrilada, 10 mg