August 31, 2021
October 2021 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes
The following information is based on the October 2021 Healthcare Common Procedure Coding System (HCPCS) file. There are several updates that will be effective October 1, 2021. Please keep in mind that the appearance of a HCPCS code is not an indication of coverage by the DME MAC.
The following list contains added HCPCS codes that will be effective October 1, 2021.
HCPCS | DESCRIPTION |
---|---|
A4453 | Rectal catheter for use with the manual pump-operated enema system, replacement only |
J0699 | Injection, cefiderocol, 10 mg |
J0741 | Injection, cabotegravir and rilpivirine, 2mg/3mg |
J1305 | Injection, evinacumab-dgnb, 5mg |
J1426 | Injection, casimersen, 10 mg |
J1445 | Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron |
J1448 | Injection, trilaciclib, 1mg |
J2406 | Injection, oritavancin (kimyrsa), 10 mg |
J9247 | Injection, melphalan flufenamide, 1mg |
J9318 | Injection, romidepsin, non-lyophilized, 0.1 mg |
J9319 | Injection, romidepsin, lyophilized, 0.1 mg |
K1021 | Exsufflation belt, includes all supplies and accessories |
K1022 | Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type |
K1023 | Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm |
K1024 | Non-pneumatic compression controller with sequential calibrated gradient pressure |
K1025 | Non-pneumatic sequential compression garment, full arm |
K1026 | Mechanical allergen particle barrier/inhalation filter, cream, nasal, topical |
K1027 | Oral device/appliance used to reduce upper airway collapsibility, without fixed mechanical hinge, custom fabricated, includes fitting and adjustment |
The following HCPCS codes have description/verbiage changes that will be effective October 1, 2021.
HCPCS | DESCRIPTION |
---|---|
J1443 | Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron |
J2407 | Injection, oritavancin (orbactiv), 10 mg |
K1013 | Enema tube, with or without adapter, any type, replacement only, each |
The following listing contains discontinued HCPCS codes along with the cross-walked HCPCS code (if applicable). Please note, not all discontinued HCPCS codes will have a cross-walked HCPCS code.
HCPCS | DISCONTINUE DATE | CROSSWALK HCPCS CODE |
---|---|---|
J0693 | 09/30/2021 | None |
J9315 | 09/30/2021 | None |