December 15, 2025
January 2026 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes and Modifiers
The following information is based on the January 2026 Healthcare Common Procedure Coding System (HCPCS) file. There are several updates that will be effective January 1, 2026. 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 January 1, 2026.
| HCPCS | DESCRIPTION |
|---|---|
| A4295 | Intermittent urinary catheter; straight tip, hydrophilic coating, each |
| A4296 | Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each |
| A4297 | Intermittent urinary catheter; hydrophilic coating, with insertion supplies |
| J0013 | Esketamine, nasal spray, 1 mg |
| J0162 | Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg |
| J0654 | Injection, liothyronine, 1 mcg |
| J1073 | Testosterone pellet, implant, 75 mg |
| J1736 | Injection, meloxicam (delova), 1 mg |
| J1737 | Injection, meloxicam (azurity), 1 mg |
| J1837 | Injection, posaconazole, 1 mg |
| J2516 | Injection, pentamidine isethionate, 1 mg |
| J2596 | Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit |
| J2711 | Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg |
| J3291 | Injection, tranexamic acid in sodium chloride, 5 mg |
| J3376 | Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg |
| J3379 | Injection, valproate sodium, 5 mg |
| J3387 | Injection, elivaldogene autotemcel, per treatment |
| J3389 | Topical administration, prademagene zamikeracel, per treatment |
| J7299 | Intrauterine copper contraceptive (miudella) |
| J7528 | Mycophenolate mofetil, for suspension, oral, 100 mg |
| J9184 | Injection, gemcitabine hydrochloride (avyxa), 200 mg |
| J9256 | Injection, nipocalimab-aahu, 3 mg |
| J9282 | Mitomycin, intravesical instillation, 1 mg |
| J9326 | Injection, telisotuzumab vedotin-tllv, 1 mg |
The following HCPCS codes have description/verbiage changes that will be effective January 1, 2026.
| HCPCS | DESCRIPTION |
|---|---|
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
The following list 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 |
|---|---|---|
| J0172 | 12/31/2025 | |
| J0190 | 12/31/2025 | |
| J0200 | 12/31/2025 | |
| J0205 | 12/31/2025 | |
| J0215 | 12/31/2025 | |
| J0288 | 12/31/2025 | |
| J0350 | 12/31/2025 | |
| J0365 | 12/31/2025 | |
| J0380 | 12/31/2025 | |
| J0395 | 12/31/2025 | |
| J0710 | 12/31/2025 | |
| J0715 | 12/31/2025 | |
| J0795 | 12/31/2025 | |
| J0889 | 12/31/2025 | |
| J1267 | 12/31/2025 | |
| J1330 | 12/31/2025 | |
| J1443 | 12/31/2025 | |
| J1444 | 12/31/2025 | |
| J1445 | 12/31/2025 | |
| J1452 | 12/31/2025 | |
| J1457 | 12/31/2025 | |
| J1562 | 12/31/2025 | |
| J1572 | 12/31/2025 | |
| J1620 | 12/31/2025 | |
| J1655 | 12/31/2025 | |
| J1710 | 12/31/2025 | |
| J1945 | 12/31/2025 | |
| J2504 | 12/31/2025 | |
| J2513 | 12/31/2025 | |
| J2910 | 12/31/2025 | |
| J2940 | 12/31/2025 | |
| J2995 | 12/31/2025 | |
| J3280 | 12/31/2025 | |
| J3305 | 12/31/2025 | |
| J3310 | 12/31/2025 | |
| J3320 | 12/31/2025 | |
| J3355 | 12/31/2025 | |
| J3364 | 12/31/2025 | |
| J3365 | 12/31/2025 | |
| J3400 | 12/31/2025 | |
| J7505 | 12/31/2025 | |
| J8562 | 12/31/2025 | |
| J8650 | 12/31/2025 | |
| J9019 | 12/31/2025 | |
| J9020 | 12/31/2025 | |
| J9098 | 12/31/2025 | |
| J9151 | 12/31/2025 | |
| J9165 | 12/31/2025 | |
| J9212 | 12/31/2025 | |
| J9270 | 12/31/2025 | |
| Q0174 | 12/31/2025 | |
| Q5109 | 12/31/2025 |
You can find excel versions of this document on the CMS website: HCPCS Quarterly Update
.

