Blog

Home / Blog

Official update of the HCPCS code system

Share Button

HCPCS codes update Effective April 1, 2016

G Codes

Code G9490 – Joint replacement model – Home visit

Code G9481 – Remote in-home visit for the E & M of a new patient 10mins

Code G9482 – Remote in-home visit for the E & M of a new patient 20mins

Code G9483 – Remote in-home visit for the E & M of a new patient 30mins

Code G9484 – Remote in-home visit for the E & M of a new patient 45mins

Code G9485 – Remote in-home visit for the E & M of a new patient 60mins

Code G9486 – Remote in-home visit for the E & M of an established patient 10mins

Code G9487 – Remote in-home visit for the E & M of an established patient 15mins

Code G9488 – Remote in-home visit for the E & M of an established patient 25mins

Code G9489 – Remote in-home visit for the E & M of an established patient 45mins

Code G9678 – Oncology Care Model service

HCPCS code Effective July 1, 2016

Code C9458  – Replaced with HCPCS code Q9983 (Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries)

Code C9459 – Replaced with HCPCS code Q9982 (Flutemetamol F18, diagnostic, per study dose, up to 5 millicuries)

Code C9743 – Replaced with Category III CPT code 0438T (Transperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance)

New HCPCS codes

Q9981 – Rolapitant, Oral, 1mg

Q9982 – Flutemetamol F18, diagnostic, per study dose, up to 5 millicuries

Q9983 – Flutemetamol F18, diagnostic, per study dose, up to 8.1 millicuries

S0285 – Colonoscopy consultation performed prior to a screening colonoscopy procedure

S0311 – Comprehensive management and care coordination for advanced illness, per calendar month

S3854 – Gene expression profiling panel for use in the management of breast cancer treatment

Q5102 – Injection, Infliximab, Biosimilar, 10 mg

Modifier ZB – Pfizer / Hospira

New Hospital Outpatient Prospective Payment System (OPPS) pass through drug code

Code C9476 – Injection, daratumumab, 10 mg

Code C9477 – Injection, elotuzumab, 1 mg

Code C9478 – Injection, sebelipase alfa, 1 mg

Code C9479 – Instillation, ciprofloxacin otic suspension, 6 mg

Code C9480 – Injection, trabectedin, 0.1 mg