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October 2023 HCPCS Updates
CMS has released the October 2023 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 October 1, 2023. Please watch the Noridian website for additional policy updates regarding HCPCS codes.
Added HCPCS Codes
Effective for dates of service on and after October 1, 2023
| HCPCS | Description |
|---|---|
| A9156 | Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml |
| A9268 | Programmer for transient, orally ingested capsule |
| A9269 | Programable, transient, orally ingested capsule, for use with external programmer, per month |
| B4148 | Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
| E0490 | Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote |
| E0491 | Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply |
| J0349 | Injection, rezafungin, 1 mg |
| J0801 | Injection, corticotropin (acthar gel), up to 40 units |
| J0802 | Injection, corticotropin (ani), up to 40 units |
| J0874 | Injection, daptomycin (baxter), not therapeutically equivalent to J0878, 1 mg |
| J0889 | Daprodustat, oral, 1 mg, (for ESRD on dialysis) |
| J2359 | Injection, olanzapine, 0.5 mg |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg |
| J7353 | Anacaulase-bcdb, 8.8% gel, 1 gram |
| J7519 | Injection, mycophenolate mofetil, 10 mg |
| J9051 | Injection, bortezomib (maia), not therapeutically equivalent to J9041, 0.1 mg |
| J9064 | Injection, cabazitaxel (sandoz), not therapeutically equivalent to J9043, 1 mg |
| J9345 | Injection, retifanlimab-dlwr, 1 mg |
| K1036 | Supplies and accessories (e.g., transducer) for low frequency ultrasonic diathermy treatment device, per month |
| L1681 | Hip orthosis, bilateral hip joints and thigh cuffs, adjustable flexion, extension, abduction control of hip joint, postoperative hip abduction type, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L5991 | Addition to lower extremity prostheses, osseointegrated external prosthetic connector |
| V2526 | Contact lens, hydrophilic, with blue-violet filter, per lens |
Deleted HCPCS Code
Invalid for billing for dates of service October 1, 2023 and after
| HCPCS | Description |
|---|---|
| J0800 | Injection, Corticotropin, up to 40 units |
Description Update
The long description of the HCPCS code has been updated as of October 1, 2023
| HCPCS | Description |
|---|---|
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
| J1921 | Injection, labetalol hydrochloride (hikma) not therapeutically equivalent to J1920, 5 mg |
| K1004 | Low frequency ultrasonic diathermy treatment device for home use |
| K1028 | Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application |
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