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
G9986

G9987

 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).


Sources:

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

 

Renee Dustman

Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.
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Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.

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