July 1 HCPCS Changes Announced

The Centers for Medicare & Medicaid Services (CMS) recently announced a number of changes to HCPCS Level II codes effective at the end of the second quarter (July 1). Changes include new codes for oxygen, wound care, headaches, and other new initiatives.

New, deleted, and changed codes in the HCPCS Level II quarterly update are as follows:

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HCPCS Code Long Description Action Coverage Effective Date
E0571 Revise Not payable 7/1/2011
J7184 Revise Not payable 7/1/2011
K0741 Portable gaseous oxygen system, rental, includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing, for cluster headaches Add Special coverage instructions apply 7/1/2011
K0742 Portable oxygen contents, gaseous, 1 month’s supply = 1 unit, for cluster headaches, for initial month’s supply or to replace used contents Add Special coverage instructions apply 7/1/2011
K0743 Suction Pump, Home Model, Portable, For Use On Wounds Add Carrier judgment 7/1/2011
K0744 Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less Add Carrier judgment 7/1/2011
K0745 Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches Add Carrier judgment 7/1/2011
K0746 Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches Add Carrier judgment 7/1/2011
Q2041 Injection, Von Willebrand factor complex (human), Wilate, 1 I.U. VWF:RCO Add Carrier judgment 7/1/2011
Q2042 Injection, hydroxyprogesterone caproate, 1 mg Add Carrier judgment 7/1/2011
Q2043 Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion Add Special coverage instructions apply 7/1/2011
Q2044 Injection, belimumab, 10 mg Add Carrier judgment 7/1/2011
S3628 Discontinue 6/30/2011
S9075 Discontinue 6/30/2011

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