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November 26, 2019

The 2020 HCPCS Updates – New and Revised HCPCS Codes (Revised)

The 2020 Healthcare Common Procedure Coding System (HCPCS) File has been published. There are several additions and revised HCPCS codes. The changes are effective January 1, 2020. Please keep in mind, the appearance of a HCPCS code is not an indication of coverage by the DME MAC.

The first listing contains the added HCPCS Codes that will take effect on January 01, 2020.

HCPCS

DESCRIPTION

A4226

Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week

B4187

Omegaven, 10 grams lipids

E0787

External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing

E2398

Wheelchair accessory, dynamic positioning hardware for back

J0179

Injection, brolucizumab-dbll, 1 mg

J9199

Injection, gemcitabine hydrochloride (infugem), 200 mg

J9309

Injection, polatuzumab vedotin-piiq, 1 mg

K1001

Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type

K1002

Cranial electrotherapy stimulation (ces) system, includes all supplies and accessories, any type

K1003

Whirlpool tub, walk-in, portable

K1005

Disposable collection and storage bag for breast milk, any size, any type, each

L2006

Knee ankle foot device, any material, single or double upright, swing and/or stance phase microprocessor control with adjustability, includes all components (e.g., sensors, batteries, charger), any type activation, with or without ankle joint(s), custom fabricated

L8033

Nipple prosthesis, custom fabricated, reusable, any material, any type, each

The listing of HCPCS Codes with description/verbiage changes that will take effect January 01, 2020 is as follows:

HCPCS

DESCRIPTION

B4185

Parenteral nutrition solution, not otherwise specified, 10 grams lipids

J9201

Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg

L8032

Nipple prosthesis, prefabricated, reusable, any type, each

Q5106

Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units

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