HCPCS CODE UPDATE – (2015)


The following list identifies changes to level II Healthcare Common Procedure Coding System (HCPCS) codes for 2015.

Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on or after January 1, 2015.

Discontinued Codes/Deleted Modifiers: Codes or modifiers that are discontinued/deleted will continue to be valid for claims with dates of service on or before December 31, 2014, regardless of the date of claim submission. If there is a direct crosswalk for a discontinued/deleted code or modifier, it is listed in the table. The crosswalked codes are also “added” codes effective for dates of service on or after January 1, 2015.

There is no grace period that would allow submission of the discontinued code for dates of service in 2015.

Narrative Changes/Revised Modifiers: A description change for an existing code or modifier is effective for dates of service on or after January 1, 2015.
The appearance of a code in this list does not necessarily indicate coverage.

Cervical Traction Devices

Narrative Changes

Code

Old Narrative

New Narrative

E0856

Cervical traction device, cervical collar with inflatable air bladder

Cervical traction device,  with inflatable air bladder(s)

External Infusion Pumps

Added Code

Code

Narrative

A4602

Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each

J2274

Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10mg

Discontinued Code

Code

Narrative

Crosswalk to Code

J2271

Injection, morphine sulfate, 100mg

J2270

J2275

Injection, morphine sulfate (preservative-free sterile solution), per 10 mg

J2274

Immunosuppressive Drugs

Added Code

Code

Narrative

Q2052

Services, supplies and accessories used in the home under the Medicare Intravenous Immune Globulin (IVIG) Demonstration (Effective 4/1/2014)

Knee Orthoses

Added Code

Code

Narrative

K0901

Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf  (Effective 10/1/2014)

K0902

Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf (Effective 10/1/2014)

Power Wheelchair

Narrative Changes

Code

Old Narrative

New Narrative

E0986

Manual wheelchair accessory, push activated power assist, each

Manual wheelchair accessory, push-rim activated power assist system

Miscellaneous

Added Code

Code

Narrative

A4459

Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type

A4601

Lithium ion battery, rechargeable, for non-prosthetic use, replacement

Refractive Lenses

Narrative Changes

Code

Old Narrative

New Narrative

V2799

Vision service, miscellaneous

Vision item or service, miscellaneous

Upper Limb Orthotics

Added Code

Code

Narrative

L3981

Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments

Upper Limb Prosthetics

Added Code

Code

Narrative

L6026

Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal

L7259

Electronic wrist rotator, any type

Discontinued Code

Code

Narrative

Crosswalk to Code

L6025

Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device

L6026

L7260

Electronic wrist rotator, otto bock or equal

L7259

L7261

Electronic wrist rotator, any type

L7259

Narrative Changes

Code

Old Narrative

New Narrative

L7367

Lithium ion battery, replacement

Lithium ion battery, rechargeable, replacement

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.

 

Published by Noridian as the PDAC, December 2014.  Republished by Palmetto GBA as the PDAC, February 2019.  Please note that links in this document were accurate at the time of original publication and may change over time and are no longer active.



Last Updated: 12/19/2014