New HCPCS codes for certain drugs, biologicals and radiopharmaceuticals

Several new HCPCS codes were created for the reporting of drugs and biologicals in the hospital outpatient setting. The new codes are listed in the following table: CY 2017 HCPCS code CY 2017 Long descriptor 90682 Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use 90750 Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection A9587 Gallium ga-68, dotatate, diagnostic, 0.1 millicurie A9588 Fluciciovine f-18, diagnostic, 1 millicurie A9597 Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified A9598 Positron emission tomography radiopharmaceutical, diagnostic...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a set of newly created HCPCS codes related to drugs, biologicals, vaccines, wound care products, and diagnostic radiopharmaceuticals in the hospital outpatient setting. It is relevant for coders, billers, reimbursement staff, and compliance teams who track annual code updates and need to identify which new product and service categories were added. The article presents the codes in a table format and highlights the general reporting context for these additions.

Why This Topic Matters

New HCPCS code additions can affect charge capture, claim reporting, and master file updates for hospital outpatient services. Keeping current with these changes helps coding and billing teams maintain accurate reporting for products and procedures that were newly recognized for the year discussed.

What You Will Learn

  • Which types of HCPCS additions are covered in the update
  • How the article groups new codes by product category
  • What categories of outpatient drugs, biologicals, vaccines, wound products, and radiopharmaceuticals are included
  • How annual HCPCS updates are presented in a table-based format

Who Should Read This

  • Medical coders
  • Hospital outpatient billers
  • Revenue cycle staff
  • Compliance professionals
  • Charge capture teams

Codes Discussed


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