What’s in Store for 2011 HCPCS Level II Codes
The 2011 HCPCS Level II code changes the Centers for Medicare & Medicaid Services (CMS) posted Nov. 2 include 147 new codes and modifiers and more than 286 deleted codes. Changes include the addition of pass-through codes, a large number of G procedures/professional services codes, and many injectable drugs, among others.
With the exception of temporary codes, HCPCS Level II alphanumeric procedure and modifier codes are updated annually Jan. 1. Codes are updated throughout the year, but the alphanumeric HCPCS Level II file is uploaded to the CMS website on an annual basis. As a result, temporary coding changes or Medicare administrative, coverage, or pricing data changes occurring outside of the annual update process may not be reflected in the released file and are usually noted in Program Memoranda (PM) to Medicare carriers and fiscal intermediaries (FIs).
The majority of deletions are in the G codes between G0430 and G8521. Among them are procedures/professional services including: diabetic, heart failure and coronary artery disease services, osteoporosis and hearing assessment, urinary incontinence, e-prescribing system codes, intraocular pressure, end-stage renal disease (ESRD), “patient not documented to have …,” cancer, influenza screening, and tobacco codes, and so on.
C code deletions include injections codes C9255, C9256, C9258-C9269, and C9271.
Discontinued E codes are E0220, E0230, and E0238.
J codes see many injection code additions and deletions in the code range J0558 – J0580 for penicillin G benzathine injection codes. There are several deleted cyclophosphamide and gamma globulin, intramuscular codes with the addition of injection, immune globulin codes.
Many skin protection wheelchair seat cushion K codes are deleted, as well.
Briefly, here are some notable additions to the 2011 list of covered HCPCS Level II codes:
- Q4117-Q4121, which address matrices used to support healing of burns or ulcers
- Q flu vaccination codes for patients 3 years and older
- Skilled services codes (G0162-G0164)
- G tobacco/smoking-related codes
- Risk-adjusted functional status change residual score G codes
- G blood pressure codes
There have been changes in the long descriptions of skin graft codes Q4101-Q4116, pain assessment and acceptable EHR system G codes. The short description of wheelchair code K0669 has been changed, as well.
These updates are only part of the changes in store for the new year. To view all HCPCS Level II code changes for 2011, the Alphanumeric Index, and Table of Drugs go to the CMS website.