Releases › HCPCS Level II October 2023

HCPCS Level II October 2023

Effective 2023-10-01 to 2023-12-31. 7,941 codes in the release.

47added
4revised
2removed

Codes added 47

CodeDescription
A2022 Innovaburn or innovamatrix xl, per square centimeter
A2023 Innovamatrix pd, 1 mg
A2024 Resolve matrix, per square centimeter
A2025 Miro3d, per cubic centimeter
A9156 Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
A9268 Programmer for transient, orally ingested capsule
A9269 Programable, transient, orally ingested capsule, for use with external programmer, per month
A9292 Prescription digital visual therapy, software-only, fda cleared, per course of treatment
A9573 Injection, gadopiclenol, 1 ml
A9603 Injection, pafolacianine, 0.1 mg
A9697 Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
B4148 Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
C9152 Injection, aripiprazole, (abilify asimtufii), 1 mg
C9153 Injection, amisulpride, 1 mg
C9154 Injection, buprenorphine extended-release (brixadi), 1 mg
C9155 Injection, epcoritamab-bysp, 0.16 mg
C9156 Flotufolastat f 18, diagnostic, 1 millicurie
C9157 Injection, tofersen, 1 mg
C9158 Injection, risperidone, (uzedy), 1 mg
C9788 Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination
C9789 Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed
C9790 Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
C9791 Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
C9792 Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
E0490 Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote
E0491 Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
H2040 Coordinated specialty care, team-based, for first episode psychosis, per month
H2041 Coordinated specialty care, team-based, for first episode psychosis, per encounter
J0349 Injection, rezafungin, 1 mg
J0801 Injection, corticotropin (acthar gel), up to 40 units
J0802 Injection, corticotropin (ani), up to 40 units
J0874 Injection, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
J0889 Daprodustat, oral, 1 mg, (for esrd on dialysis)
J2359 Injection, olanzapine, 0.5 mg
J2781 Injection, pegcetacoplan, intravitreal, 1 mg
J7214 Injection, factor viii/von willebrand factor complex, recombinant (altuviiio), per factor viii i.u.
J7353 Anacaulase-bcdb, 8.8% gel, 1 gram
J7519 Injection, mycophenolate mofetil, 10 mg
J9051 Injection, bortezomib (maia), not therapeutically equivalent to j9041, 0.1 mg
J9064 Injection, cabazitaxel (sandoz), not therapeutically equivalent to j9043, 1 mg
J9345 Injection, retifanlimab-dlwr, 1 mg
K1036 Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month
L1681 Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
L5991 Addition to lower extremity prostheses, osseointegrated external prosthetic connector
Q4285 Nudyn dl or nudyn dl mesh, per square centimeter
Q4286 Nudyn sl or nudyn slw, per square centimeter
V2526 Contact lens, hydrophilic, with blue-violet filter, per lens

Descriptions revised 4

CodeWas, and is now
A4344 Indwelling catheter, foley type, two-way, all silicone, each Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
J1921 Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1820, 5 mg Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1920, 5 mg
K1004 Low frequency ultrasonic diathermy treatment device for home use, includes all components and accessories Low frequency ultrasonic diathermy treatment device for home use
K1028 Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive sleep apnea, controlled by phone application Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application

Terminated 2

CodeDescription
C9151 Injection, pegcetacoplan, 1 mg
J0800 Injection, corticotropin, up to 40 units