2026 HCPCS Code Update - July Edition - Correct Coding

Joint DME MAC and PDAC Publication
Posted July 2, 2026

The following tables identify changes to Level II Healthcare Common Procedure Coding System (HCPCS) codes for July 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 July 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.
  • Narrative Changes: Identifies changes in the narrative descriptor for an existing code or modifier.

Added Codes

Intravenous Immune Globulin

Code Narrative
J1577 INJECTION, IMMUNE GLOBULIN (QIVIGY), 100 MG

Miscellaneous

Code Narrative
J0528 INJECTION, FOSFOMYCIN DISODIUM, 20 MG
J1289 INJECTION, NARSOPLIMAB-WUUG, 1 MG
J3386 INJECTION, ETUVETIDIGENE AUTOTEMCEL, PER TREATMENT
J9053 INJECTION, BELANTAMAB MAFODOTIN-BLMF, 0.1 MG
J9232 INJECTION, DOCETAXEL (HOSPIRA), NOT THERAPEUTICALLY EQUIVALENT TO J9171, 1 MG

Narrative Changes

Intravenous Immune Globulin

Code Old Narrative New Narrative
J1569 INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID/GAMMAGARD LIQUID ERC), 500 MG

Miscellaneous

Code Old Narrative New Narrative
J3375 INJECTION, VANCOMYCIN HYDROCHLORIDE (XELLIA), NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG INJECTION, VANCOMYCIN HYDROCHLORIDE (TYZAVAN), NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG

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
07/02/2026 Published on PDAC Website
Last Updated Jul 02 , 2026