October 1 HCPCS Updates

HCPCS Added Termination Long Description Comments Code Date Date

Injection, testosterone C9023 10/1/2014 New drug code effective October 1, 2014. undecanoate, 1 mg

Injection, ramucirumab, 5 C9025 10/1/2014 New drug code effective October 1, 2014. mg

C9026 Injection, vedolizumab, 1 mg 10/1/2014 New drug code effective October 1, 2014.

New code effective October 1, 2014. Also, in the October 2014 OPPS Update CR (Transmittal 3012, Change Request 8873 dated August 1, 2014) and October 2014 ASC Update Factor ix (antihemophilic CR (Transmittal 3025, Change Request 8880 dated August 15, C9135 factor, recombinant), 10/1/2014 2014), the dosage descriptor for this code was incorrectly Alprolix, per i.u. listed as "10 i.u." The correct dosage descriptor for HCPCS code C9135 is "per i.u." The payment rate that's listed in the October 2014 OPPS Addendum B and ASC Addendum BB for this code is based on a "per i.u." dosage descriptor.

Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, C9741 10/1/2014 New procedure code effective October 1, 2014. angiography, imaging supervision, interpretation, and report, includes provision of patient home electronics unit Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a G0471 4/1/2014 skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA) A medically-necessary, face to face encounter( one- on- one) between a new patient and a FQHC practitioner during which time one or more FQHC services are G0466 10/1/2014 rendered and includes a typical bundle of Medicare- covered services that would be furnished per diem to a patient receiving a FQHC visit. A medically-necessary, face to face encounter( one- on- one) between an established patient and a FQHC practitioner during which time one or more FQHC G0467 10/1/2014 services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a FQHC visit. G0468 A FQHC visit that includes 10/1/2014 an Initial Preventive Physical Examination (IPPE) or Annual Wellness Visit (AWV) and includes a typical bundle of Medicare- covered services that would be furnished per diem to a patient receiving an IPPE or AWV A medically-necessary, face- to-face mental health encounter(one-on-one) between a new patient and a FQHC practitioner during which time one or more G0469 FQHC services are rendered 10/1/2014 and includes a typical bundle of Medicare covered services that would be furnished per diem to a patient receiving a mental health visit. A medically-necessary, face- to-face mental health encounter(one-on-one) between an established patient and a FQHC practitioner during which G0470 time one or more FQHC 10/1/2014 services are rendered and includes a typical bundle of Medicare covered services that would be furnished per diem to a patient receiving a mental health visit. Injection, Morphine Sulfate, Preservative-Free For Q9974 7/1/2014 Correction: Coverage D Epidural Or Intrathecal Use, 10 mg Low-dose Computed S8032 Tomography For Lung 10/1/2014 Cancer Screening Injection, Epoetin Beta, 1 Q9972 microgram, (For ESRD On 10/1/2014 Dialysis) Injection, Epoetin Beta, 1 Q9973 10/1/2014 microgram, (Non-ESRD use) Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or K0901 polycentric), medial-lateral 10/1/2014 and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or K0902 polycentric), medial-lateral 10/1/2014 and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf