Healthcare News: CMS releases 14 HCPCS drug codes effective July 1

June 28th, 2022

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers CMS’ first-quarter HCPCS Application Summaries and Coding Recommendations and the resulting HCPCS Level II code changes for drugs, biologicals, and related supplies. It is relevant to coders, billing teams, and reimbursement professionals who track CMS code updates, product code assignments, and code deletions tied to quarterly effective dates.

Why This Topic Matters

CMS HCPCS updates can affect claim reporting, code maintenance, and system updates on a scheduled basis. This article helps readers understand the scope of the quarterly changes and identify the HCPCS items affected.

Article Sections

  1. CMS HCPCS Application Summaries and Coding Recommendations

    Overview of the quarterly CMS review process for HCPCS Level II requests and final coding decisions. This section frames the update and the types of items addressed.

  2. New HCPCS Level II codes effective July 1

    List of newly established HCPCS Level II product codes taking effect on the stated date. The section organizes the additions by broad code category.

  3. Temporary codes

    Temporary HCPCS items included in the update and grouped as a separate category. This section identifies additional products addressed by CMS.

  4. Codes deleted effective June 30

    HCPCS codes scheduled for deletion and replacement as part of the same CMS release. The section notes the affected temporary hospital OPPS items.

What You Will Learn

  • How CMS structures quarterly HCPCS Level II coding update releases
  • What broad categories of HCPCS items were newly added in the update
  • Which types of HCPCS items were scheduled for deletion and replacement
  • How effective dates are organized in the CMS coding announcement

Who Should Read This

  • Medical coders
  • Billing and reimbursement professionals
  • Revenue cycle staff
  • Compliance teams
  • Healthcare administrators

Codes Discussed

  • HCPCS Level II: A9596
  • HCPCS Level II: A9601
  • HCPCS Level II: J0739
  • HCPCS Level II: J1306
  • HCPCS Level II: J1551
  • HCPCS Level II: J2356
  • HCPCS Level II: J2779
  • HCPCS Level II: J2998
  • HCPCS Level II: J3299
  • HCPCS Level II: J9331
  • HCPCS Level II: J9332
  • HCPCS Level II: Q4259
  • HCPCS Level II: Q4260
  • HCPCS Level II: Q4261
  • HCPCS Level II: C9090
  • HCPCS Level II: C9091
  • HCPCS Level II: C9092
  • HCPCS Level II: C9093

Modifiers Discussed

  • HCPCS Level II: -JB
  • HCPCS Level II: -JA

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