Article Detail - JA DME
January 2025 HCPCS Updates
CMS has released the January 2025 Healthcare Common Procedure Coding System (HCPCS) file. Inclusion on this list does not indicate coverage. All HCPCS code changes are effective and should be used for claims with dates of service on or after January 1, 2025. Watch the Noridian website for additional policy updates regarding these HCPCS codes.
Added HCPCS Codes
Effective for dates of service on and after January 1, 2025
| HCPCS | Description |
|---|---|
| E1803 | Dynamic adjustable elbow extension only device, includes soft interface material |
| E1804 | Dynamic adjustable elbow flexion only device, includes soft interface material |
| E1807 | Dynamic adjustable wrist extension only device, includes soft interface material |
| E1808 | Dynamic adjustable wrist flexion only device, includes soft interface material |
| E1813 | Dynamic adjustable knee extension only device, includes soft interface material |
| E1814 | Dynamic adjustable knee flexion only device, includes soft interface material |
| E1822 | Dynamic adjustable ankle extension only device, includes soft interface material |
| E1823 | Dynamic adjustable ankle flexion only device, includes soft interface material |
| E1826 | Dynamic adjustable finger extension only device, includes soft interface material |
| E1827 | Dynamic adjustable finger flexion only device, includes soft interface material |
| E1828 | Dynamic adjustable toe extension only device, includes soft interface material |
| E1829 | Dynamic adjustable toe flexion only device, includes soft interface material |
| J1552 | Injection, immune globulin (alyglo), 500 mg |
| J7601 | Ensifentrine, inhalation suspension, FDA approved final product, non-compounded, administered through DME, unit dose form, 3 mg |
| Q0155 | Dronabinol (syndros), 0.1 mg, oral, FDA approved prescription anti-emetic, for use as a complete therapeutic substitute for an IV anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0521 | Pharmacy supplying fee for HIV pre-exposure prophylaxis FDA approved prescription |
Description Update
The long description of the HCPCS code has been updated as of January 1, 2025
| HCPCS | Description |
|---|---|
| E1800 | Dynamic adjustable elbow extension and flexion device, includes soft interface material |
| E1805 | Dynamic adjustable wrist extension and flexion device, includes soft interface material |
| E1810 | Dynamic adjustable knee extension and flexion device, includes soft interface material |
| E1815 | Dynamic adjustable ankle extension and flexion device, includes soft interface material |
| E1825 | Dynamic adjustable finger extension and flexion device, includes soft interface material |
| E1830 | Dynamic adjustable toe extension and flexion device, includes soft interface material |
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