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March 27, 2018


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Medical Coding News Archives

CMS Releases Updates to HCPCS

 
April 22, 2008:
The Centers for Medicare and Medicaid Services (CMS) has released the latest update to the HCPCS Level II code system. There changes, effective April 1, include:

CodeDescriptionActionPayment
Q4099Formoterol fumarate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 20 microgramsAddCarrier Judgment
J0220Injection, alglucosidase alfa, 10 mgCorrectionN/A
J7602No additional information available.ReviseNot Payable by Medicare
J7603No additional information available.ReviseNot Payable by Medicare
J7611Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 1mgReinstateSpecial Coverage Instructions Apply
J7612Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mgReinstateSpecial Coverage Instructions Apply
J7613Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mgReinstateSpecial Coverage Instructions Apply
J7614Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mgReinstateSpecial Coverage Instructions Apply
KTBeneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid itemReviseCarrier Judgment
K0672Addition to lower extremity orthosis, removable soft interface, all components, replacement only, eachAddCarrier Judgment
Q4096Injection, Von Willebrand factor complex, human, ristocetin cofactor (not otherwise specified), per IU VWF:RCOAddCarrier Judgment
Q4097Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mgAddCarrier Judgment
Q4098Injection, iron dextran, 50 mgAddCarrier Judgment
J1751No additional information available.ReviseNot Payable by Medicare
J1752No additional information available.ReviseNot Payable by Medicare
S3628Placental alpha microglobulin-1 rapid immunoassay for detection of rupture of fetal membranesAddNot Payable by Medicare

There was one change made to the outpatient prospective payment C codes: Effective April 1 CMS has added code C9241 Injection, doripenem.

Deborah C. Hall
Clinical/Technical Editor

 

 
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