Important CPT Changes

The HCPCS code set is updated on a quarterly basis. Change Request (CR) 10107 informs MACs of updating specific drug/biological HCPCS codes. As of July 1, 2017, the HCPCS file included the following new codes:

Q9984

  • Short Description: Kyleena
  • Long Description: Levonorgestrel-releasing intrauterine contraceptive system (Kyleena), 19.5 mg

Q9985

  • Short Description: Inj, hydroxyprogesterone, NOS
  • Long Description: Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Q9986

  • Short Description: Inj, Makena
  • Long Description: Injection, hydroxyprogesterone caproate (Makena), 10 mg
  • TOS Code 1, P

Q9988

  • Short Description: Platelets, pathogen reduced
  • Long Description: Platelets, pathogen reduced, each unit

Q9989

  • Short Description: Ustekinumab IV Inj, 1 mg
  • Long Description: Ustekinumab, for Intravenous Injection, 1 mg

Also, as of July 1, 2017, HCPCS code J1725 (Injection, hydroxyprogesterone caproate, 1 mg) is no longer payable for Medicare.

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