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Monthly Archives: July 2017

Added New HCPCS Drug Injection codes

Q9984
Levonorgestrel-releasing intrauterine contraceptive system (Kyleena), 19.5 mg.

Q9985
Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Q9986
Injection, hydroxyprogesterone caproate (Makena), 10 mg

C9489
Injection, nusinersen, 0.1 mg

C9490
Injection, bezlotoxumab, 10 mg

Q9989
Ustekinumab, for Intravenous Injection, 1 mg

HCPCS – Supply code:

K0553
Supply allowance for therapeutic continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 Unit Of Service

K0554
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system

Q9988
Platelets, pheresis, pathogen reduced, each unit

Q9987
Pathogen(s) test for platelets

C9745
Nasal endoscopy, surgical; balloon dilation of eustachian tube

C9746
Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed

C9747
Ablation of prostate, transrectal, high intensity focused ultrasound (HIFU), including imaging guidance.

Modifiers Effective From 1st July 2017

Q5 – Modification:

Long Descriptor:
Service furnished under a reciprocal billing arrangement by a substitute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area.

Q6 – Modification:

Long Descriptor:
Service furnished under a fee-for-time compensation arrangement by a substitiute physician; or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area.

Modification in HCPCS injection code:

J1725–Modification
Injection, hydroxyprogesterone caproate, 1 mg.

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