Code Changes for October 1
The Medicare Physician Fee Schedule Database (MPFSDB) October 2018 Update, released Aug. 10, adds several codes for coverage under Part B professional services.
The following HCPCS Level II codes are effective Oct. 1, 2018:
|Code||Descriptor||Facility/Non-facility PE RVU||Other MPFS Indicators and RVUs|
|G9978||Remote E/M new pt 10 mins||0.23||99201|
|G9979||Remote E/M new pt 20 mins||0.42||99202|
|G9980||Remote E/M new pt 30 mins||0.60||99203|
|G9981||Remote E/M new pt 45 mins||1.32||99204|
|G9982||Remote E/M new pt 60 mins||0.20||99205|
|G9983||Remote E/M est. pt 10 mins||0.41||99212|
|G9984||Remote E/M est. pt 15 mins||0.62||99213|
|G9985||Remote E/M est. pt 25 mins||0.88||99214|
| Remote E/M est. pt 40 mins
BPCI advanced in home visit
New C Codes Effective Oct. 1:
C9033 Injection, fosnetupitant 235 mg and palonosetron 0.25 g
C9034 Injection, dexamethasone 9%, intraocular, 1 mcg
C9750 Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system ( includes device and electrode)
In addition to Q9994, Q5105, and Q5106, which became effective July 1, HCPCS Level II code Q5108 Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg, is payable by Medicare, effective July 12. Code Q5108 is assigned Type of Service codes 1 Medical care and P Lump sum purchase of durable medical equipment, prosthetics, orthotics, and the MPFSDB status indicator E Excluded from physician fee schedule by regulation.
Note: MACs will hold claims for Q5108 until the Oct. 1 implementation date.
For more information on 2019 code changes, check here (CPT), here (ICD-10-CM), and here (ICD-10-PCS).
MLN Matters MM10898: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM10898.pdf
MLN Matters MM10834: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM10834.pdf