AHA Coding Clinic® for HCPCS - 2019 Quarter 3; For Your Information
HCPCS Level II and CPT coding changes effective July 1, 2019
HCPCS Level II changes The following code changes became effective on July 1, 2019 and may be found on the CMS website at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.html Codes for certain drugs, biologicals, and radiopharmaceuticals The six new HCPCS Level II codes listed in the table below have been created for reporting drugs and biologicals in the hospital outpatient setting. HCPCS Level II Code Long Descriptor Effective Date C9047 Injection, caplacizumab-yhdp, 1 mg July 1, 2019 C9048 Dexamethasone, lacrimal ophthalmic insert, 0.1mg July 1, 2019 C9049 Injection, tagraxofusp-erzs, 10 mcg July 1, 2019 C9050 Injection, emapalumab-lzsg, 1 mg July...
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Article Overview
This article reviews July 1, 2019 coding updates affecting HCPCS Level II and CPT. It is useful for hospital outpatient coders, billing teams, and compliance staff who track quarterly code set changes, newly established drug and biologic reporting codes, code replacements, a descriptor update, and a temporary procedure code addition.
Why This Topic Matters
Quarterly code updates can affect claim accuracy, charge capture, and code maintenance workflows. Readers who work with outpatient drug reporting or procedure coding will want to confirm which changes became effective on July 1, 2019 and whether any code replacements or descriptor revisions apply to their setting.
Article Sections
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HCPCS Level II changes
Overview of the July 1, 2019 HCPCS Level II update set and the categories of changes included in the article.
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Codes for certain drugs, biologicals, and radiopharmaceuticals
New HCPCS Level II drug and biologic reporting codes introduced for the effective date discussed in the article.
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Separately payable drugs and biologicals
HCPCS Level II updates related to separately payable drugs and biologicals, including newly established codes and code replacements.
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Descriptor change for HCPCS code J9355
A summary of the article’s section on a revised HCPCS descriptor effective on the same date.
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New temporary C-code
The temporary HCPCS code addition described in the article and its general reporting context.
What You Will Learn
- Which areas of HCPCS Level II were updated effective July 1, 2019
- What categories of drug and biologic reporting changes are covered
- How the article frames code replacements and descriptor updates
- What temporary coding addition is mentioned for the same effective date
Who Should Read This
- Medical coders
- Hospital outpatient billing staff
- Revenue cycle teams
- Compliance personnel
- Coding managers
Codes Discussed
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