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March 1, 2022

April 2022 HCPCS Code Updates

The following information is based on the April 2022 Healthcare Common Procedure Coding System (HCPCS) file. There are several updates that will be effective April 1, 2022. Please keep in mind that the appearance of a HCPCS code is not an indication of coverage by the DME MAC.

This following list contains added HCPCS codes that will be effective April 1, 2022.

HCPCS

DESCRIPTION

A4238

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service

E2102

Adjunctive continuous glucose monitor or receiver

J0219

Injection, avalglucosidase alfa-ngpt, 4 mg

J0248

Injection, remdesivir, 1 mg

J0491

Injection, anifrolumab-fnia, 1 mg

J0879

Injection, difelikefalin, 0.1 microgram, (for esrd on dialysis)

J9071

Injection, cyclophosphamide, (auromedics), 5 mg

J9273

Injection, tisotumab vedotin-tftv, 1 mg

J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

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

K1029

Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply

K1030

External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator, replacement only

K1031

Non-pneumatic compression controller without calibrated gradient pressure

K1032

Non-pneumatic sequential compression garment, full leg

K1033

Non-pneumatic sequential compression garment, half leg

Q5124

Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg

V2525

Contact lens, hydrophilic, dual focus, per lens

The following listing contains HCPCS codes that will be invalid for Medicare submission effective April 1, 2022.

HCPCS

DESCRIPTION

A9276

Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial continuous glucose monitoring system, one unit = 1 day supply

A9277

Transmitter; external, for use with interstitial continuous glucose monitoring system

A9278

Receiver (monitor); external, for use with interstitial continuous glucose monitoring system

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