Code Changes for October 1

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
1.06 N/A

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:
MLN Matters MM10834:

Renee Dustman
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Renee Dustman, BS, AAPC MACRA Proficient, is managing editor - content & editorial at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 30 years' experience in journalistic reporting, print production, graphic design, and content management. Follow her on Twitter @dustman_aapc.

No Responses to “Code Changes for October 1”

  1. Rose Duckworth says:

    I’m looking for a list of 2019 ICD-10 codes that are inactive effective 10-01-2018. Where can I get a list from?