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 |