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November 2019
HCPCS update: New codes added
The Centers for Medicare & Medicaid Services has added several new codes as part of its quarterly Health Care Procedure Coding System updates. The codes, effective dates and Blue Cross Blue Shield of Michigan’s coverage decisions are below.
| Code |
Change |
Coverage comments |
Effective date |
| C9035 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9036 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9037 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9038 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9039 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9040 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9043 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9044 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9045 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9048 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9049 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9050 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9051 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9052 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| C9447 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
Injections
| Code |
Change |
Coverage comments |
Effective date |
| J0121 |
Added |
Covered |
Oct. 1, 2019 |
| J0122 |
Added |
Covered |
Oct. 1, 2019 |
| J0222 |
Added |
Covered |
Oct. 1, 2019 |
| J0291 |
Added |
Covered |
Oct. 1, 2019 |
| J0593 |
Added |
Not covered |
Oct. 1, 2019 |
| J1096 |
Added |
Covered |
Oct. 1, 2019 |
| J1097 |
Added |
Covered |
Oct. 1, 2019 |
| J1303 |
Added |
Covered |
Oct. 1, 2019 |
| J1942 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
| J1943 |
Added |
Covered |
Oct. 1, 2019 |
| J1944 |
Added |
Covered |
Oct. 1, 2019 |
| J2798 |
Added |
Covered |
Oct. 1, 2019 |
| J3031 |
Added |
Not covered |
Oct. 1, 2019 |
| J3111 |
Added |
Covered |
Oct. 1, 2019 |
| J7314 |
Added |
Covered |
Oct. 1, 2019 |
| J7331 |
Added |
Covered |
Oct. 1, 2019 |
| J7332 |
Added |
Covered |
Oct. 1, 2019 |
| J7401 |
Added |
Not covered |
Oct. 1, 2019 |
| J9118 |
Added |
Covered |
Oct. 1, 2019 |
| J9119 |
Added |
Covered |
Oct. 1, 2019 |
| J9204 |
Added |
Covered |
Oct. 1, 2019 |
| J9210 |
Added |
Covered |
Oct. 1, 2019 |
| J9269 |
Added |
Covered |
Oct. 1, 2019 |
| J9313 |
Added |
Covered |
Oct. 1, 2019 |
| Q5116 |
Added |
Covered |
Oct. 1, 2019 |
| Q5117 |
Added |
Covered |
Oct. 1, 2019 |
| Q5118 |
Added |
Covered |
Oct. 1, 2019 |
Skin substitutes
| Code |
Change |
Coverage comments |
Effective date |
| Q4205 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4206 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4208 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4209 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4210 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4211 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4212 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4213 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4214 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4215 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4216 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4217 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4218 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4219 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4220 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4221 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4222 |
Added |
Not covered |
Oct. 1, 2019 |
| Q4226 |
Added |
Not covered |
Oct. 1, 2019 |
Temporary procedures medicine
| Code |
Change |
Coverage comments |
Effective date |
| S1090 |
Deleted |
Deleted Sept. 30, 2019 |
Sept. 30, 2019 |
None of the information included in this article is intended to be legal advice and, as such, it remains the provider’s responsibility to ensure that all coding and documentation are done in accordance with all applicable state and federal laws and regulations.
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