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January 25, 2018

Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More

New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More

OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More

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Medical Coding News Archives

2014 HCPCS Codes Finally Released

January 24, 2014:

Nannette Orme, CPC, CCS-P, CPMA, CEMC Clinical/Technical Editor

The Centers for Medicare and Medicaid Services (CMS) posted the 2014 HCPCS codes on its website in late November. This is nearly a month later than in prior years; CMS cited the government shutdown for the delay.

The 2014 HCPCS file contained 614 changes, making it important to update electronic health records (EHR) and billing software data files as well as any paper billing documents that may be used. The changes include the following:

  • 249 new codes
  • 258 revised codes
  • 107 deleted codes

Note that there were 14 new codes during the 2013 year and that one of the codes in the file (Q2052) has an effective date of April 1, 2014. The Physician Quality Reporting System (PQRS) has 253 of the new and revised codes and 69 deleted codes.

In addition, two modifiers were added during the year (JE, AO) and one added for 2014 (PM) with one revised (HI).

  • AO  Alternate payment method declined by provider of service
  • HI   Integrated mental health and mental retardation/developmental disabilities program
  • JE  Administered via dialysate
  • PM  Post mortem

Many of the revisions were grammatical changes only, while others were technical corrections or changes due to currently available supplies. New codes include:

  • Radiology pharmaceuticals/contrast media
  • Retinal prosthesis
  • Low-cost skin substitutes graft material (C section)
  • Pharmaceuticals, new and revised, in the C, J, and Q sections
    • influenza vaccines
  • Procedures
    • placement of applicator for radiation therapy of breast
    • ultrasound ablation with MRI guidance
    • anoscopy with submucosal injections
    • laparoscopic esophageal sphincter augmentation>/li>
  • Durable medical equipment
  • Laboratory procedures
  • Hospital outpatient clinic visit
  • Orthotic devices
  • Skin substitute graft (Q section)
  • Nonemergency ambulance transportation


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