decisionhealth Newsletters, Part B News - 2017 Issue 3 (March)
Use this crosswalk of 18 new drug codes to replace previous HCPCS codes
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Article Overview
This article covers a CMS-driven HCPCS coding update for drugs effective Jan. 1, focusing on a crosswalk between newly released J codes and the prior HCPCS codes they supersede. It is relevant to coders, billers, revenue cycle staff, and pharmacy-related claims teams who need to track code-set changes, understand the scope of the replacements, and avoid claim errors tied to outdated drug coding. The article presents the change set in tabular form and highlights the transition from earlier HCPCS categories to the newer J-code structure.
Why This Topic Matters
Drug-code updates can affect claim submission, charge capture, and payment integrity. Keeping current with HCPCS crosswalks helps organizations reduce denials and billing mismatches when code sets change.
Article Sections
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Coding
Introduces the HCPCS drug-code update and frames the crosswalk as a billing and payment reference. It also points readers to the general purpose of the code changes.
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2017 drug code changes crosswalk
Presents the side-by-side crosswalk between the new 2017 HCPCS drug codes and the prior HCPCS codes. The table organizes the updates in alphabetic order and is the core reference of the article.
What You Will Learn
- The purpose of a HCPCS drug-code crosswalk
- How the article organizes newly released drug codes and prior codes
- The general scope of the 2017 HCPCS drug-code update
- Why keeping drug-code references current matters for billing workflows
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Claims processing teams
- Pharmacy billing professionals
Codes Discussed
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