The Centers for Medicare & Medicaid Services (CMS) has posted its final Level II HCPCS application determinations for 2016.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies and services not included in the CPT-4 codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician’s office.
Since Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT-4 codes, the level II HCPCS codes were established for submitting claims for these items.
Here is the list of HCPCS codes undergoing a change for 2016. Changes include additions, changes in long description, discontinuations, changes in coverage and payment changes. Note: If you need assistance finding a particular HCPCS code, use PGM Billing’s HCPCS Lookup Tool. The HCPCS Codes Lookup Tool provides users with the ability to perform HCPCS code searches to obtain the correct code and description.
HCPCS/Modifier Code | Type of Change |
CP | Add |
CT | Add |
EX | Add |
ZA | Add |
A4337 | Add |
C1822 | Add |
C2613 | Add |
C2623 | Add |
C2645 | Add |
C9458 | Add |
C9459 | Add |
C9460 | Add |
C9743 | Add |
E0465 | Add |
E0466 | Add |
E1012 | Add |
G0296 | Add |
G0297 | Add |
G0298 | Add |
G0299 | Add |
G0300 | Add |
G0475 | Add |
G0476 | Add |
G9473 | Add |
G9474 | Add |
G9475 | Add |
G9476 | Add |
G9477 | Add |
G9478 | Add |
G9479 | Add |
G9480 | Add |
G9496 | Add |
G9497 | Add |
G9498 | Add |
G9499 | Add |
G9500 | Add |
G9501 | Add |
G9502 | Add |
G9503 | Add |
G9504 | Add |
G9505 | Add |
G9506 | Add |
G9507 | Add |
G9508 | Add |
G9509 | Add |
G9510 | Add |
G9511 | Add |
G9512 | Add |
G9513 | Add |
G9514 | Add |
G9515 | Add |
G9516 | Add |
G9517 | Add |
G9518 | Add |
G9519 | Add |
G9520 | Add |
G9521 | Add |
G9522 | Add |
G9523 | Add |
G9524 | Add |
G9525 | Add |
G9526 | Add |
G9529 | Add |
G9530 | Add |
G9531 | Add |
G9532 | Add |
G9533 | Add |
G9534 | Add |
G9535 | Add |
G9536 | Add |
G9537 | Add |
G9538 | Add |
G9539 | Add |
G9540 | Add |
G9541 | Add |
G9542 | Add |
G9543 | Add |
G9544 | Add |
G9547 | Add |
G9548 | Add |
G9549 | Add |
G9550 | Add |
G9551 | Add |
G9552 | Add |
G9553 | Add |
G9554 | Add |
G9555 | Add |
G9556 | Add |
G9557 | Add |
G9558 | Add |
G9559 | Add |
G9560 | Add |
G9561 | Add |
G9562 | Add |
G9563 | Add |
G9572 | Add |
G9573 | Add |
G9574 | Add |
G9577 | Add |
G9578 | Add |
G9579 | Add |
G9580 | Add |
G9581 | Add |
G9582 | Add |
G9583 | Add |
G9584 | Add |
G9585 | Add |
G9593 | Add |
G9594 | Add |
G9595 | Add |
G9596 | Add |
G9597 | Add |
G9598 | Add |
G9599 | Add |
G9600 | Add |
G9601 | Add |
G9602 | Add |
G9603 | Add |
G9604 | Add |
G9605 | Add |
G9606 | Add |
G9607 | Add |
G9608 | Add |
G9609 | Add |
G9610 | Add |
G9611 | Add |
G9612 | Add |
G9613 | Add |
G9614 | Add |
G9615 | Add |
G9616 | Add |
G9617 | Add |
G9618 | Add |
G9619 | Add |
G9620 | Add |
G9621 | Add |
G9622 | Add |
G9623 | Add |
G9624 | Add |
G9625 | Add |
G9626 | Add |
G9627 | Add |
G9628 | Add |
G9629 | Add |
G9630 | Add |
G9631 | Add |
G9632 | Add |
G9633 | Add |
G9634 | Add |
G9635 | Add |
G9636 | Add |
G9637 | Add |
G9638 | Add |
G9639 | Add |
G9640 | Add |
G9641 | Add |
G9642 | Add |
G9643 | Add |
G9644 | Add |
G9645 | Add |
G9646 | Add |
G9647 | Add |
G9648 | Add |
G9649 | Add |
G9650 | Add |
G9651 | Add |
G9652 | Add |
G9653 | Add |
G9654 | Add |
G9655 | Add |
G9656 | Add |
G9657 | Add |
G9658 | Add |
G9659 | Add |
G9660 | Add |
G9661 | Add |
G9662 | Add |
G9663 | Add |
G9664 | Add |
G9665 | Add |
G9666 | Add |
G9667 | Add |
G9668 | Add |
G9669 | Add |
G9670 | Add |
G9671 | Add |
G9672 | Add |
G9673 | Add |
G9674 | Add |
G9675 | Add |
G9676 | Add |
G9677 | Add |
J0202 | Add |
J0596 | Add |
J0695 | Add |
J0714 | Add |
J0875 | Add |
J1443 | Add |
J1447 | Add |
J1575 | Add |
J1833 | Add |
J2407 | Add |
J2502 | Add |
J2547 | Add |
J2860 | Add |
J3090 | Add |
J3380 | Add |
J7121 | Add |
J7188 | Add |
J7205 | Add |
J7297 | Add |
J7298 | Add |
J7313 | Add |
J7328 | Add |
J7340 | Add |
J7503 | Add |
J7512 | Add |
J7999 | Add |
J8655 | Add |
J9032 | Add |
J9039 | Add |
J9271 | Add |
J9299 | Add |
J9308 | Add |
L8607 | Add |
P9070 | Add |
P9071 | Add |
P9072 | Add |
Q4161 | Add |
Q4162 | Add |
Q4163 | Add |
Q4164 | Add |
Q4165 | Add |
Q5101 | Add |
Q9950 | Add |
Q9980 | Add |
B5000 | Change in Long Description |
B5100 | Change in Long Description |
B5200 | Change in Long Description |
C1820 | Change in Long Description |
C9349 | Change in Long Description |
G8399 | Change in Long Description |
G8400 | Change in Long Description |
G8401 | Change in Long Description |
G8458 | Change in Long Description |
G8465 | Change in Long Description |
G8784 | Change in Long Description |
G8924 | Change in Long Description |
G8925 | Change in Long Description |
G8928 | Change in Long Description |
G8929 | Change in Long Description |
G8955 | Change in Long Description |
G9196 | Change in Long Description |
G9226 | Change in Long Description |
G9277 | Change in Long Description |
G9286 | Change in Long Description |
G9287 | Change in Long Description |
G9298 | Change in Long Description |
G9354 | Change in Long Description |
G9384 | Change in Long Description |
G9385 | Change in Long Description |
G9389 | Change in Long Description |
G9390 | Change in Long Description |
G9419 | Change in Long Description |
G9429 | Change in Long Description |
G9460 | Change in Long Description |
G9467 | Change in Long Description |
J0571 | Change in Long Description |
J0572 | Change in Long Description |
J0573 | Change in Long Description |
J0574 | Change in Long Description |
J0575 | Change in Long Description |
J1442 | Change in Long Description |
J7508 | Change in Long Description |
K0017 | Change in Long Description |
K0018 | Change in Long Description |
L1902 | Change in Long Description |
L1904 | Change in Long Description |
L8621 | Change in Long Description |
Q4153 | Change in Long Description |
JF | Discontinued |
A7011 | Discontinued |
C9025 | Discontinued |
C9026 | Discontinued |
C9027 | Discontinued |
C9136 | Discontinued |
C9442 | Discontinued |
C9443 | Discontinued |
C9444 | Discontinued |
C9445 | Discontinued |
C9446 | Discontinued |
C9448 | Discontinued |
C9449 | Discontinued |
C9450 | Discontinued |
C9451 | Discontinued |
C9452 | Discontinued |
C9453 | Discontinued |
C9454 | Discontinued |
C9455 | Discontinued |
C9456 | Discontinued |
C9457 | Discontinued |
C9724 | Discontinued |
C9737 | Discontinued |
E0450 | Discontinued |
E0460 | Discontinued |
E0461 | Discontinued |
E0463 | Discontinued |
E0464 | Discontinued |
G0154 | Discontinued |
G0431 | Discontinued |
G0434 | Discontinued |
G6018 | Discontinued |
G6019 | Discontinued |
G6020 | Discontinued |
G6021 | Discontinued |
G6022 | Discontinued |
G6023 | Discontinued |
G6024 | Discontinued |
G6025 | Discontinued |
G6027 | Discontinued |
G6028 | Discontinued |
G8530 | Discontinued |
G8531 | Discontinued |
G8532 | Discontinued |
G8713 | Discontinued |
G8714 | Discontinued |
G8717 | Discontinued |
G8718 | Discontinued |
G8720 | Discontinued |
G8870 | Discontinued |
G8871 | Discontinued |
G8951 | Discontinued |
G9320 | Discontinued |
G9323 | Discontinued |
G9325 | Discontinued |
G9328 | Discontinued |
G9343 | Discontinued |
G9346 | Discontinued |
G9362 | Discontinued |
G9363 | Discontinued |
G9369 | Discontinued |
G9370 | Discontinued |
G9376 | Discontinued |
G9377 | Discontinued |
G9378 | Discontinued |
G9379 | Discontinued |
G9391 | Discontinued |
G9392 | Discontinued |
G9433 | Discontinued |
J0886 | Discontinued |
J1446 | Discontinued |
J7302 | Discontinued |
J7506 | Discontinued |
J9010 | Discontinued |
Q9975 | Discontinued |
Q9976 | Discontinued |
Q9977 | Discontinued |
Q9978 | Discontinued |
Q9979 | Discontinued |
S0195 | Discontinued |
S2360 | Discontinued |
S2361 | Discontinued |
S3721 | Discontinued |
S3854 | Discontinued |
S3890 | Discontinued |
S5011 | Discontinued |
S8262 | Discontinued |
S9015 | Discontinued |
L7900 | Change in Coverage |
L7902 | Change in Coverage |
A4233 | Change in Payment |
A4234 | Change in Payment |
A4235 | Change in Payment |
A4236 | Change in Payment |
A9520 | Change in Payment |
J0200 | Change in Payment |
J0561 | Change in Payment |
J0712 | Change in Payment |
J0720 | Change in Payment |
J1364 | Change in Payment |
J1600 | Change in Payment |
J2248 | Change in Payment |
J2515 | Change in Payment |
J2730 | Change in Payment |
J2791 | Change in Payment |
J3350 | Change in Payment |
J3485 | Change in Payment |
J7180 | Change in Payment |
J7315 | Change in Payment |
J8520 | Change in Payment |
J8521 | Change in Payment |
J9020 | Change in Payment |
J9185 | Change in Payment |
J9219 | Change in Payment |
J9351 | Change in Payment |
K0899 | Change in Payment |
Q4122 | Change in Payment |
Q4127 | Change in Payment |
B4088 | Miscellaneous Change (BETOS or Type of Service |