Releases › HCPCS Level II October 2024

HCPCS Level II October 2024

Effective 2024-10-01 to 2024-12-31. 8,474 codes in the release.

58added
10revised
6removed

Codes added 58

CodeDescription
A2027 Matriderm, per square centimeter
A2028 Micromatrix flex, per mg
A2029 Mirotract wound matrix sheet, per cubic centimeter
A4543 Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month
A4544 Electrode for external lower extremity nerve stimulator for restless legs syndrome
A4545 Supplies and accessories for external tibial nerve stimulator (e.g., socks, gel pads, electrodes, etc.), needed for one month
A7021 Supplies and accessories for lung expansion airway clearance, continuous high frequency oscillation, and nebulization device (e.g., handset, nebulizer kit, biofilter)
A9610 Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
C8000 Support device, extravascular, for arteriovenous fistula (implantable)
C9169 Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram
C9170 Injection, tarlatamab-dlle, 1 mg
C9171 Injection, pegulicianine, 1 mg
C9172 Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose
E0469 Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
E0683 Non-pneumatic, non-sequential, peristaltic wave compression pump
E0715 Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
E0716 Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
E0721 Transcutaneous electrical nerve stimulator for nerves in the auricular region
E0737 Transcutaneous tibial nerve stimulator, controlled by phone application
E0743 External lower extremity nerve stimulator for restless legs syndrome, each
E0767 Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories
E2513 Accessory for speech generating device, electromyographic sensor
E3200 Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only
J0138 Injection, acetaminophen 10 mg and ibuprofen 3 mg
J0175 Injection, donanemab-azbt, 2 mg
J1171 Injection, hydromorphone, 0.1 mg
J1749 Injection, iloprost, 0.1 mcg
J2002 Injection, lidocaine hcl in 5% dextrose, 1 mg
J2003 Injection, lidocaine hydrochloride, 1 mg
J2004 Injection, lidocaine hcl with epinephrine, 1 mg
J2252 Injection, midazolam in 0.8% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg
J2253 Injection, midazolam (seizalam), 1 mg
J2601 Injection, vasopressin (baxter), 1 unit
J8522 Capecitabine, oral, 50 mg
J8541 Dexamethasone (hemady), oral, 0.25 mg
J9329 Injection, tislelizumab-jsgr, 1mg
L1006 Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
L1653 Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf
L1821 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf
L8720 External lower extremity sensory prosthesis, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
L8721 Receptor sole for use with l8720, replacement, each
P9027 Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit
Q0519 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days
Q0520 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 60-days
Q4334 Amnioplast 1, per square centimeter
Q4335 Amnioplast 2, per square centimeter
Q4336 Artacent c, per square centimeter
Q4337 Artacent trident, per square centimeter
Q4338 Artacent velos, per square centimeter
Q4339 Artacent vericlen, per square centimeter
Q4340 Simpligraft, per square centimeter
Q4341 Simplimax, per square centimeter
Q4342 Theramend, per square centimeter
Q4343 Dermacyte ac matrix amniotic membrane allograft, per square centimeter
Q4344 Tri-membrane wrap, per square centimeter
Q4345 Matrix hd allograft dermis, per square centimeter
Q5135 Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg
Q5136 Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg

Descriptions revised 10

CodeWas, and is now
A2024 Resolve matrix, per square centimeter Resolve matrix or xenopatch, per square centimeter
A4271 Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per month Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
E0739 Rehab system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors Rehabilitation system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors
J2251 Injection, midazolam hydrochloride (wg critical care), not therapeutically equivalent to j2250, per 1 mg Injection, midazolam in 0.9% sodium chloride, intravenous, not therapeutically equivalent to j2250, 1 mg
J9172 Injection, docetaxel (ingenus), not therapeutically equivalent to j9171, 1 mg Injection, docetaxel (docivyx), 1 mg
L1652 Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, any type Hip orthosis, bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, includes fitting and adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Q0516 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 30-days Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days
Q0517 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 60-days Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 60-days
Q0518 Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug, per 90-days Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days

Terminated 6

CodeDescription
C9150 Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
J1170 Injection, hydromorphone, up to 4 mg
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg
J8520 Capecitabine, oral, 150 mg
J8521 Capecitabine, oral, 500 mg
J9258 Injection, paclitaxel protein-bound particles (teva), not therapeutically equivalent to j9264, 1 mg