April 2024 HCPCS Updates - Revised

CMS has released the April 2024 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 April 1, 2024. Please watch the Noridian website for additional policy updates regarding HCPCS codes.

Added HCPCS Codes

Effective for dates of service on and after April 1, 2024

HCPCS DESCRIPTION
A4271 Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per month
A4593 Neuromodulation stimulator system, adjunct to rehabilitation therapy regime
A4594 Neuromodulation stimulator system, adjunct to rehabilitation therapy regime, mouthpiece each
E0152 Walker, battery powered, wheeled, folding, adjustable or fixed height
E0468 Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
E0736 Transcutaneous tibial nerve stimulator
E0738 Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories
E0739 Rehab system with interactive interface providing active assistance in rehabilitation therapy, includes all components and accessories, motors, microprocessors, sensors
E2104 Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
E2298 Complex rehabilitative power wheelchair accessory, power seat elevation system, any type
J0177 Injection, aflibercept hd, 1 mg
J0209 Injection, sodium thiosulfate (hope), 100 mg
J0589 Injection, daxibotulinumtoxina-lanm, 1 unit
J0650 Injection, levothyroxine sodium, not otherwise specified, 10 mcg
J0651 Injection, levothyroxine sodium (fresenius kabi) not therapeutically equivalent to j0650, 10 mcg
J0652 Injection, levothyroxine sodium (hikma) not therapeutically equivalent to j0650, 10 mcg
J1203 Injection, cipaglucosidase alfa-atga, 5 mg
J1323 Injection, elranatamab-bcmm, 1 mg
J1434 Injection, fosaprepitant (focinvez), 1 mg
J2277 Injection, motixafortide, 0.25 mg
J2782 Injection, avacincaptad pegol, 0.1 mg
J2801 Injection, risperidone (rykindo), 0.5 mg
J3055 Injection, talquetamab-tgvs, 0.25 mg
J3424 Injection, hydroxocobalamin, intravenous, 25 mg
J7165 Injection, prothrombin complex concentrate, human-lans, per i.u. of factor ix activity
J9376 Injection, pozelimab-bbfg, 1 mg
K1037 Docking station for use with oral device/appliance used to reduce upper airway collapsibility
L1320 Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated
L5783 Addition to lower extremity, user adjustable, mechanical, residual limb volume management system
L5841 Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control
Q5133 Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg
Q5134 Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg

Deleted HCPCS Code

Invalid for billing for dates of service April 1, 2024 and after

HCPCS DESCRIPTION
E2300 WHEELCHAIR ACCESSORY, POWER SEAT ELEVATION SYSTEM, ANY TYPE
J0576 INJECTION, BUPRENORPHINE EXTENDED-RELEASE (BRIXADI), 1 MG
J1020 INJECTION, METHYLPREDNISOLONE ACETATE, 20 MG
J1030 INJECTION, METHYLPREDNISOLONE ACETATE, 40 MG
J1040 INJECTION, METHYLPREDNISOLONE ACETATE, 80 MG
J1246 INJECTION, DINUTUXIMAB, 0.1 MG
J1840 INJECTION, KANAMYCIN SULFATE, UP TO 500 MG
J1850 INJECTION, KANAMYCIN SULFATE, UP TO 75 MG
J2920 INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 40 MG
J2930 INJECTION, METHYLPREDNISOLONE SODIUM SUCCINATE, UP TO 125 MG
J9070 CYCLOPHOSPHAMIDE, 100 MG
J9250 METHOTREXATE SODIUM, 5 MG

Description Update

The long description of the HCPCS code has been updated as of April 1, 2024

HCPCS DESCRIPTION
E2001 Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system
J0208 Injection, sodium thiosulfate (pedmark), 100 mg
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg
J3380 Injection, vedolizumab, intravenous, 1 mg
J3425 Injection, hydroxocobalamin, intramuscular, 10 mcg
J7516 Injection, cyclosporine, 250 mg
J9029 Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose
J9260 Injection, methotrexate sodium, 50 mg
J9071 Injection, cyclophosphamide (auromedics), 5 mg
J9072 Injection, cyclophosphamide (dr. reddy's), 5 mg
Last Updated Mar 15 , 2024