Joint DME MAC and PDAC Publication
Posted April 9, 2026
The following tables identify changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for April 2026. The tables contain only HCPCS codes applicable to items within Medicare DME MAC jurisdiction. There may be other HCPCS code changes for items under the jurisdiction of other Medicare contractors. Consult those contractors for information regarding HCPCS codes within their areas of responsibility.
All HCPCS code changes are effective for claims with dates of service on or after April 1, 2026.
Code Change Categories
- Added Codes/Modifiers: Identifies newly created codes and modifiers. Listing of a code in the tables does not necessarily indicate coverage. Refer to the applicable Local Coverage Determination for information regarding Medicare reimbursement requirements.
- Discontinued Codes/Deleted Modifiers: Identifies codes and modifiers discontinued or deleted in the new cycle. These codes and modifiers continue to be valid for Medicare claims with dates of service either on or before March 31, 2026. There is no grace period for submission of a discontinued code/modifier for claims with dates of service after its effective end date. If there is a direct crosswalk for a discontinued/deleted code or modifier, the crosswalk code will be displayed in a table.
- Narrative Changes: Identifies changes in the narrative descriptor for an existing code or modifier.
Added Codes
Miscellaneous
| Code |
Narrative |
| J1164 |
INJECTION, DILTIAZEM HYDROCHLORIDE IN 0.72% SODIUM CHLORIDE, 0.5 MG |
| J9003 |
LEUPROLIDE INJECTABLE (CAMCEVI ETM), 1 MG |
| J9183 |
GEMCITABINE INTRAVESICAL SYSTEM, 225 MG |
| J9277 |
INJECTION, PEMBROLIZUMAB, 1 MG AND BERAHYALURONIDASE ALFA-PMPH |
| J9278 |
INJECTION, CARBOPLATIN (AVYXA), 1 MG |
| J9601 |
INJECTION, LINVOSELTAMAB-GCPT, 1 MG |
| A8005 |
POWERED, CABLE DRIVEN GRIP ASSIST GLOVE, HAND, FINGER, INCLUDES MICROPROCESSOR, PRESSURE SENSORS, ALL COMPONENTS AND ACCESSORIES, CUSTOM FITTED |
| A8006 |
POWERED, CABLE DRIVEN GRIP ASSIST GLOVE, HAND, FINGER, INCLUDES PRESSURE SENSORS, GLOVE REPLACEMENT ONLY |
| A9294 |
PRESCRIPTION DIGITAL COGNITIVE AND/OR BEHAVIORAL THERAPY, BIOFEEDBACK, FDA CLEARED, PER COURSE OF TREATMENT |
| A6548 |
ACCESSORY TO CUSTOM GRADIENT COMPRESSION GARMENT, SILICONE BAND, ANY SIZE |
Ankle-Foot/Knee-Ankle-Foot Orthosis
| Code |
Narrative |
| L2221 |
ADDITION TO LOWER EXTREMITY ORTHOSIS, ANKLE SYSTEM, MICROPROCESSOR-CONTROLLED FEATURE PLANTARFLEXION AND/OR DORSIFLEXION, INCLUDES POWER SOURCE |
Bowel Management Devices
| Code |
Narrative |
| A4479 |
ELECTRONIC TRANSANAL IRRIGATION SYSTEM, INCLUDES ELECTRONIC PUMP, WATER RESERVOIR, TUBING, AND ACCESSORIES, WITHOUT CATHETER, ANY TYPE |
Intravenous Immune Globulin
| Code |
Narrative |
| J1553 |
INJECTION, IMMUNE GLOBULIN (YIMMUGO), 100 MG |
Lower Limb Prostheses
| Code |
Narrative |
| L5992 |
ALL LOWER EXTREMITY PROSTHESIS, FOOT SHELL FOR MODULAR FOOT/NON-SOLID ANKLE CUSHION HEEL (SACH) REPLACEMENT ONLY |
Urological Supplies
| Code |
Narrative |
| A4318 |
FEMALE EXTERNAL URINARY COLLECTION CUP, WITH OR WITHOUT RING ATTACHMENT, PER DAY |
Discontinued Codes
Miscellaneous
| Code |
Narrative |
| L6000 |
PARTIAL HAND, THUMB REMAINING |
| L6010 |
PARTIAL HAND, LITTLE AND/OR RING FINGER REMAINING |
| L6020 |
PARTIAL HAND, NO FINGER REMAINING |
Narrative Changes
Miscellaneous
| Code |
Old Narrative |
New Narrative |
| J0174 |
INJECTION, LECANEMAB-IRMB, 1 MG |
LECANEMAB-IRMB, FOR INTRAVENOUS INJECTION, 1 MG |
| L6028 |
PARTIAL HAND, FINGER, AND THUMB PROSTHESIS WITHOUT PROSTHETIC DIGIT(S)/THUMB, AMPUTATION AT METACARPAL LEVEL, INCLUDING FLEXIBLE OR NON-FLEXIBLE INTERFACE, MOLDED TO PATIENT MODEL, INCLUDING PALM, FOR USE WITHOUT EXTERNAL POWER AND/OR PASSIVE PROSTHETIC DIGIT/THUMB, NOT INCLUDING INSERTS DESCRIBED BY L6692 |
PARTIAL HAND, FINGER, AND THUMB PROSTHESIS WITHOUT PROSTHETIC DIGIT(S) /THUMB, AMPUTATION AT METACARPAL LEVEL, INCLUDING FLEXIBLE OR NON-FLEXIBLE INTERFACE, MOLDED TO PATIENT MODEL, FOR USE WITHOUT EXTERNAL POWER AND/OR PASSIVE PROSTHETIC DIGIT/THUMB, NOT INCLUDING INSERTS DESCRIBED BY L6692 |
Refer to the Centers for Medicare and Medicaid Services (CMS) website to download a full listing of HCPCS code additions, revisions, deletions, etc. in an excel file.
For questions about correct coding or products not listed on the DMECS Product Classification List (PCL), contact the PDAC HCPCS Helpline at (877) 735-1326 during the hours of 9:30 a.m. to 5:00 p.m. ET, Monday through Friday. You may also visit the PDAC website to chat with a representative or select the Contact Us button at the top of the PDAC website for email, FAX, or postal mail information.
Revision History
| Date |
Update |
| April 9, 2026 |
Originally Published |
