CMS QUARTERLY UPDATE TO HCPCS CODE SET

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  • June 13, 2019

MLN Matters Number: MM11296  provides the updates on the HCPCS code set for codes related to drugs and biologicals. The HCPCS code set is updated quarterly.

On May 19, 2019 CMS announced a change in the current process of allowing only one opportunity per year to apply for new Level II codes. CMS is moving to a process with quarterly opportunities to apply for drugs, and semi-annual opportunities to apply for devices. Administrator Verma’s speech can be viewed at: https://www.cms.gov/newsroom/press-releases/speech-remarks-administrator-seema-verma-medical-device-manufacturers-association.

CMS HCPCS Quarterly Updates including C-Codes, G-Codes, Q-Codes and J-Codes are available on the CMS website at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.html