AHA Coding Clinic® for HCPCS - 2016 Quarter 1; For Your Information
New HCPCS codes for certain drugs, biologicals, and radiopharmaceuticals
Several new HCPCS codes were created for the reporting of drugs and biologicals under the hospital outpatient prospective payment system (OPPS). These new HCPCS codes are listed in the table below: New HCPCS Codes HCPCS Long Descriptor C9458 Florbetaben F18, diagnostic, per study dose, up to 8.1 millicuries C9459 Flutemetamol F18, diagnostic, per study dose, up to 5 millicuries C9460 Injection, cangrelor, 1 mg Q9980 Hyaluronan or derivative, GenVisc 850, for intra-articular injection, 1 mg J0714 Injection, ceftazidime and avibactam, 0.5g/0.125g J1575 Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J7188 Injection, factor viii (antihemophilic factor, recombinant)...
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Article Overview
This article is a coding update for professionals who bill or review hospital outpatient services involving drugs, biologicals, and radiopharmaceuticals. It presents newly created HCPCS Level II entries and the broad context for why these additions were issued, helping readers identify whether the update is relevant to their specialty, charge capture, or code maintenance workflows.
Why This Topic Matters
New HCPCS additions affect outpatient reporting, charge description master maintenance, and code lookup accuracy for facilities and coding teams that work with injectable, biologic, and radiopharmaceutical products.
What You Will Learn
- Which newly created HCPCS Level II entries are included in the update
- What categories of outpatient products are covered by the article
- How the update is framed within hospital outpatient prospective payment system reporting
- Which product types and specialties are most likely to be affected by the changes
Who Should Read This
- Hospital outpatient coders
- Billing and reimbursement staff
- Revenue cycle teams
- CDM analysts
- Compliance staff
- Health information management professionals
Codes Discussed
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