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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.

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.

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.

J0693 09/30/2021 None
J9315 09/30/2021 None


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