HCPCS Quarterly Update Adds, Deletes Codes

A new list of “other” HCPCS Level II codes and modifiers to be added or removed for the second quarter of 2012 is now posted on the Centers for Medicare & Medicaid Services (CMS) website.

CMS is deleting two modifiers added just two years ago, adding five temporary (non-Medicare) “S” codes that describe a mixed bag of services, and deleting 20 “S” codes that describe mainly genetic testing.

Modifiers to remove as of March 31:

V8  Infection present
V9  No infection present

Codes to add as of April 1:

S0353 Treatment planning and care coordination management for cancer initial treatment
S0354 Treatment planning and care coordination management for cancer established patient with a change of regimen
S0596 Phakic intraocular lens for correction of refractive error
S3721 Prostate cancer antigen 3 (pca3) testing
S8930 Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient

Codes to remove as of March 31:

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S3711 Circulating tumor cell test
S3713 Kras mutation analysis testing
S3818 Complete gene sequence analysis; brca1 gene
S3819 Complete gene sequence analysis; brca2 gene
S3820 Complete BRCA1 and BRCA2 gene sequence analysis for susceptibility to breast and ovarian cancer
S3822 Single mutation analysis (in individual with a known brca1 or BRCA2 mutation in the family) for susceptibility to breast and ovarian cancer
S3823 Three-mutation brca1 and BRCA2 analysis for susceptibility to breast and ovarian cancer in ashkenazi individuals
S3828 Complete gene sequence analysis; MLH1 gene
S3829 Complete gene sequence analysis; MLH2 gene
S3830 Complete mlh1 and MSH2 gene sequence analysis for hereditary nonpolyposis colorectal cancer (HNPCC) genetic testing
S3831 Single-mutation analysis (in individual with a known mlh1 and msh2 mutation in the family) for hereditary nonpolyposis colorectal cancer (HNPCC) genetic testing
S3835 Complete gene sequence analysis for cystic fibrosis genetic testing
S3837 Complete gene sequence analysis for hemochromatosis genetic testing
S3843 DNA analysis of the f5 gene for susceptibility to factor v leiden thrombophilia
S3847 Genetic testing for Tay-Sachs disease
S3848 Genetic testing for Gaucher disease
S3851 Genetic testing for Canavan disease
S3860 Genetic testing, comprehensive cardiac ion channel analysis, for variants in 5 major cardiac ion channel genes for individuals with high index of suspicion for familial long qt syndrome (LQTS) or related syndromes

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