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August 31, 2023

Quarterly Update to the MPFSDB – October 2023

A summary of the changes for the October update to the 2023 Medicare Physician Fee Schedule Database (MPFSDB) is indicated below. Unless otherwise stated, these changes are effective for dates of service on and after January 1, 2023.

See the CMS HCPCS Quarterly UpdateExternal Website for more information on the new and revised codes.

Revised HCPCS codes from the October 2023 HCPCS file update effective for dates of service on or after April 18, 2023

Code Action
91300 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91301 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91305 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91306 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91307 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91308 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91309 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91311 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0001A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0002A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0003A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0004A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0011A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0012A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0013A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0051A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0052A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0053A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0054A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0064A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0071A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0072A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0073A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0074A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0081A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0082A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0083A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0091A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0092A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0093A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0094A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0111A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0112A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0113A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.

Revised HCPCS codes from the October 2023 HCPCS file update effective for dates of service on or after June 1, 2023

Code Action
0031A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0034A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91303 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.

New HCPCS codes effective for dates of service on or after April 18, 2023

Code Action
0121A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0141A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0142A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0151A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0171A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0172A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.

New HCPCS code effective for dates of service July 6, 2023, and after

Code Action
J0174 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.

New HCPCS codes effective for dates of service October 1, 2023, and after

Code Action
J0349 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0801 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0802 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0874 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0889 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J2359 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J2781 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J7214 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J7353 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J7519 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J9051 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J9064 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J9345 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
Q4285 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
Q4286 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
A2022 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A2023 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A2024 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A2025 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A9156 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
A9268 Procedure Status = N; there are no RVUs, payment policy indicators do not apply.
A9269 Procedure Status = N; there are no RVUs, payment policy indicators do not apply.
A9292 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
H2040 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
H2041 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
V2526 Procedure Status = N; there are no RVUs, payment policy indicators do not apply.
A9573 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
A9603 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
A9697 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.

HCPCS codes deleted from the MPFS

Code Action Effective for dates of service on or after
J9321 Procedure Status = I July 1, 2023
J0800 Procedure Status = I October 1, 2023

Revised short descriptors

Code Short Descriptor Effective for dates of service on or after
0124A Adm sarscv2 bvl 30mcg/.3ml a April 18, 2023
0134A Adm sarscv2 bvl 50mcg/.5ml a April 18, 2023
0144A Adm srscv2 bvl 25mcg/.25ml 2 April 18, 2023
0154A Adm sarscv2 bvl 10mcg/.2ml a April 18, 2023
0164A Adm srscv2 bvl 10mcg/0.2ml a April 18, 2023
0174A Adm sarscv2 bvl 3mcg/0.2ml a April 18, 2023
J9323 Inj pemetrexed ditromethamin July 1, 2023

Reference: Change Request (CR) 13316External Website

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