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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

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