CMS Releases HCPCS Code April Update

The scheduled release of modifications to the HCPCS Level II code set are available on the Centers for Medicare & Medicaid Services’ HCPCS Quarterly Update web page.

Here’s the list of C codes included in the April update.

HCPCS Code Long Description Added Date Termination Date Comments
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 04/01/2001 Report drug-coated transluminal angioplasty catheters with HCPCS code C2623.
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 04/01/2015 New OPPS pass-through device.
C9136 Injection, factor viii, fc fusion protein, (recombinant), per i.u. 01/01/2015 03/31/2015 HCPCS code C9136 will be replaced with HCPCS code Q9975 (Injection, Factor VIII, FC Fusion Protein (Recombinant), per iu) effective April 1, 2015.
C9445 Injection, c-1 esterase inhibitor (recombinant), Ruconest, 10 units 04/01/2015 New OPPS pass-through drug code.
C9448 Netupitant 300mg and palonosetron 0.5 mg, oral 04/01/2015 New OPPS pass-through drug code.
C9449 Injection, blinatumomab, 1 mcg 04/01/2015 New OPPS pass-through drug code.
C9450 Injection, fluocinolone acetonide intravitreal implant, 0.01 mg 04/01/2015 New OPPS pass-through drug code.
C9451 Injection, peramivir, 1 mg 04/01/2015 New OPPS pass-through drug code.
C9452 Injection, ceftolozane 50 mg and tazobactam 25 mg 04/01/2015 New OPPS pass-through drug code.

Here is the list of “other” codes included in the April update that are added, as of April 1, 2015.

HCPCS Code Long Description Action Coverage Effective Date
Q9975 “Injection, Factor VIII, FC Fusion Protein (Recombinant), per iu” Add D 04/01/2015
JF Compounded Drug Add C 04/01/2015
EX Expatriate Beneficiary Add C 04/01/2015

Here’s the list of “other” codes included in the quarterly update that are added or deleted, as of July 1, 2015.

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HCPCS Code Long Description Action Coverage Pricing Effective
Date
Q5101 Injection, Filgrastim (G-CSF), Biosimilar, 1 microgram Add D 51 3/1/15
Q9976 Injection, Ferric Pyrophosphate Citrate Solution, 0.1 mg of iron Add C 51 7/1/15
Q9977 Compounded Drug, Not Otherwise Classsified Add D 51 7/1/15
JF Compounded Drug Discontinue C 6/30/15
Q9978 Netupitant 300 mg and Palonosetron 0.5 mg, oral Add D 51 7/1/15
S8262 Mandibular Orthopedic Repositioning Device, Each Discontinue I 0 6/30/15

 

Renee Dustman

Renee Dustman

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.
Renee Dustman

About Has 423 Posts

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.

3 Responses to “CMS Releases HCPCS Code April Update”

  1. Angie Gill says:

    We are getting an edit when trying to use the C2623 with a 32775 CPT. Any thoughts on this.

  2. Angie Gill says:

    Information from our vendor indicated you can use the C2623 on 37224,37225,37226 and 37227. Information from the transmittal shows only the 37224 and 37226? Why would the 37225 and 37227 be excluded? Has anyone successfully reported this C-code yet?

  3. Purushothaman says:

    Do we have alternate code for S8262, your suggestions welcome

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