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June 2023
HCPCS 1st-quarter update: New and updated codes
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.
Skin substitutes
Code |
Change |
Coverage comments |
Effective date |
A2019 |
Added |
Not covered |
April 1, 2023 |
A2020 |
Added |
Not covered |
April 1, 2023 |
A2021 |
Added |
Not covered |
April 1, 2023 |
Q4265 |
Added |
Not covered |
April 1, 2023 |
Q4266 |
Added |
Not covered |
April 1, 2023 |
Q4267 |
Added |
Not covered |
April 1, 2023 |
Q4268 |
Added |
Not covered |
April 1, 2023 |
Q4269 |
Added |
Not covered |
April 1, 2023 |
Q4270 |
Added |
Not covered |
April 1, 2023 |
Q4271 |
Added |
Not covered |
April 1, 2023 |
Durable medical equipment/Prosthetics and orthotics/Medical supplies
Code |
Change |
Coverage comments |
Effective date |
A4341 |
Added |
Covered |
April 1, 2023 |
A4342 |
Added |
Covered |
April 1, 2023 |
A4560 |
Added |
Not covered |
April 1, 2023 |
A6590 |
Added |
Covered |
April 1, 2023 |
A6591 |
Added |
Covered |
April 1, 2023 |
A7049 |
Added |
Not covered |
April 1, 2023 |
E0677 |
Added |
Covered |
April 1, 2023 |
E0711 |
Added |
Not covered |
April 1, 2023 |
E1905 |
Added |
Not covered |
April 1, 2023 |
K1035 |
Added |
Not covered |
April 1, 2023 |
L8678 |
Added |
Covered |
April 1, 2023 |
Injections/administrative drug
Code |
Change |
Coverage comments |
Effective date |
C9145 |
Added |
Covered |
April 1, 2023 |
C9146 |
Added |
Covered |
April 1, 2023 |
C9147 |
Added |
Covered |
April 1, 2023 |
C9148 |
Added |
Covered |
April 1, 2023 |
C9149 |
Added |
Covered |
April 1, 2023 |
J0208 |
Added |
Covered |
April 1, 2023 |
J0218 |
Added |
Manual review |
April 1, 2023 |
J0610 |
Delete |
Deleted March 31, 2023 |
March 31, 2023 |
J0611 |
Delete |
Deleted March 31, 2023 |
March 31, 2023 |
J0612 |
Added |
Covered |
April 1, 2023 |
J0613 |
Added |
Covered |
April 1, 2023 |
J1411 |
Added |
Covered |
April 1, 2023 |
J1449 |
Added |
Covered |
April 1, 2023 |
J1747 |
Added |
Covered |
April 1, 2023 |
J2403 |
Added |
Covered |
April 1, 2023 |
J9196 |
Added |
Covered |
April 1, 2023 |
J9294 |
Added |
Covered |
April 1, 2023 |
J9296 |
Added |
Covered |
April 1, 2023 |
J9297 |
Added |
Covered |
April 1, 2023 |
Q5127 |
Added |
Covered |
April 1, 2023 |
Q5128 |
Added |
Covered |
April 1, 2023 |
Q5129 |
Added |
Covered |
April 1, 2023 |
Q5130 |
Added |
Covered |
April 1, 2023 |
S9563 |
Added |
Not covered |
April 1, 2023 |
Modifiers
Code |
Change |
Coverage comments |
Effective date |
JK |
Added |
Informational only |
April 1, 2023 |
JL |
Added |
Informational only |
April 1, 2023 |
Data gathering
Code |
Change |
Coverage comments |
Effective date |
M0010 |
Added |
Provider liable |
April 1, 2023 |
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. |
