New CPT & HCPCS codes effective from 1 July 2019

This year again their are new updates in CPT category III codes & HCPCS codes. Effective July 1, 2019, the CMS is implementing five (5) CPT Category III codes in the ASC payment system that the AMA released in January 2019 for implementation on July 1, 2019. These codes are also included in the July 2019 ASC addenda, which is posted on the CMS website.

List of New CPT Category III codes effective from 1 July 2019

Below I am listing all the new CPT codes added from 1st july 2019 along with the Ambulatory Surgery Centre (ASC) Payment Indicator (PI).

0548T Transperineal periurethral balloon continence device; bilateral placement, including cystoscopy and fluoroscopy
ASC PI – J8

0549T Transperineal periurethral balloon continence device; unilateral placement, including cystoscopy and fluoroscopy
ASC PI – J8

0550T Transperineal periurethral balloon continence device; removal, each balloon
ASC PI – G2

0551T Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume
ASC PI – R2

0558T Computed tomography scan taken for the purpose of biomechanical computed tomography analysis
ASC PI – Z2

*HCPCS code C9746 (Transperineal implantation of permanent adjustable balloon continence
device, with cystourethroscopy, when performed and/or fluoroscopy, when performed), which
was effective July 1, 2017, is deleted June 30, 2019, and replaced with CPT code 0548T,
effective July 1, 2019.

Also their are new updates in the HCPCS codes as well. Their are around 10 new established HCPCS codes for separately payable drugs and Biologicals as ofJuly 1, 2019

Out of ten, eight of the codes are new. J7208 will replace HCPCS code C9141. Another HCPCS code, J9030, will replace HCPCS code J9031. The new codes are listed below. HCPCS codes C9141 and J9031 will be deleted effective June 30, 2019.

J9036 Injection, bendamustine hydrochloride, (Belrapzo/bendamustine), 1 mg
J7208 Injection, factor viii, (antihemophilic factor, recombinant), pegylatedaucl, (jivi), 1 i.u.
J9356 Injection, trastuzumab, 10 mg and Hyaluronidase-oysk
J9030 BCG live intravesical instillation, 1 mg
C9047 Injection, caplacizumab-yhdp, 1 mg
C9048 Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
C9049 Injection, tagraxofusp-erzs, 10 mcg
C9050 Injection, emapalumab-lzsg, 1 mg
C9051 Injection, omadacycline, 1 mg
C9052 Injection, ravulizumab-cwvz, 10 mg