New HCPCS Codes in Effect April 1

The April 2010 update of HCPCS Level II codes is now available on the Centers for Medicare & Medicaid Services (CMS) website. Downloadable files include one for a smattering of C codes and another involving four modifiers.

New C codes effective April 1 are:

HCPCS Code Long Description
C9258 Injection, telavancin, 10 mg
C9259 Injection, pralatrexate, 1 mg
C9260 Injection, ofatumumab, 10 mg
C9261 Injection, ustekinumab, 1 mg
C9262 Fludarabine phosphate, oral, 1 mg
C9263 Injection, ecallantide, 1 mg

Modifiers revised or added, effective April 1 are:

HCPCS Code Long Description Action Coverage
GA Waiver of liability statement issued, as required by payer policy Revise C
GX Notice of liability issued, voluntary under payer policy ADD C
RA Replacement of a dme, orthotic or prosthetic item Revise  
RB Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair Revise  

Download these files from the HCPCS Quarterly Update webpage on the CMS website.

Refer to the April 2010 update of the hospital Outpatient Prospective Payment System (OPPS) for further information on these codes.

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