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August 24, 2023

October 2023 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers

The following information is based on the October 2023 Healthcare Common Procedure Coding System (HCPCS) file. There are several updates that will be effective October 1, 2023. 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 October 1, 2023.

HCPCS DESCRIPTION
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
B4148 Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
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
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
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
V2526 Contact lens, hydrophilic, with blue-violet filter, per lens

The following HCPCS codes have description/verbiage changes that will be effective October 1, 2023.

HCPCS DESCRIPTION
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
J1921 Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to j1920, 5 mg
K1004 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, controlled by phone application

The following listing contains discontinued HCPCS codes, along with the cross-walked HCPCS codes (if applicable). Please note, not all discontinued HCPCS codes will have a cross-walked HCPCS code.

HCPCS DISCONTINUE DATE CROSSWALK HCPCS CODE
J0800 09/30/2023 None

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