HCPCS Codes: CMS Introduces Several New 'Carrier-Priced' HCPCS Codes

Subscribe or sign in to view the full article.

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

Article Overview

This article explains a CMS HCPCS quarterly update that adds new carrier-priced items effective July 1. It is aimed at coders, billers, and reimbursement staff who need to stay current on newly released HCPCS entries for supplies, devices, and injectable drugs, along with the general issue of carrier pricing and MAC-based payment verification.

Why This Topic Matters

It helps billing and coding professionals identify newly available HCPCS codes and understand that payment amounts are determined separately through carrier pricing, which affects charge capture and reimbursement workflow.

What You Will Learn

  • What categories of HCPCS items were added in the CMS quarterly update
  • Why carrier-priced HCPCS items require separate payment verification
  • Which general types of supplies, devices, and injectable drugs are covered in the update
  • When the new HCPCS items became effective

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Practice managers
  • Reimbursement specialists

Codes Discussed

  • HCPCS Level II: K0743
  • HCPCS Level II: K0744
  • HCPCS Level II: K0745
  • HCPCS Level II: K0746
  • HCPCS Level II: Q2041
  • HCPCS Level II: Q2042
  • HCPCS Level II: Q2044

Subscribe or sign in to view the full article.

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?