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

 

Last Updated Aug 31 , 2023