New HCPCS codes and dosage descriptors for certain drugs and biologicals effective April 1, 2020

The following new HCPCS codes have been created for reporting drugs and biologicals in the Ambulatory Surgery Center (ASC) setting:   HCPCS Level II Code Long Descriptor Effective Date C9053 Injection, crizanlizumab-tmca, 1 mg April 1, 2020 C9056 Injection, givosiran, 0.5 mg April 1, 2020 C9057 Injection, cetirizine hydrochloride, 1 mg April 1, 2020 C9058 Injection, pegfilgrastim-bmez, biosimilar, (Ziextenzo) 0.5 mg April 1, 2020 ...

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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 brief article covers newly created HCPCS Level II codes for reporting certain drugs and biologicals in the Ambulatory Surgery Center setting, along with their effective date. It is intended for coding, billing, and reimbursement professionals who track quarterly HCPCS updates and need to stay current with payer reporting requirements.

Why This Topic Matters

Keeping track of HCPCS code updates is important for accurate claims reporting, charge capture, and compliance in outpatient facility settings.

What You Will Learn

  • Which HCPCS Level II reporting updates are effective on April 1, 2020.
  • Which types of drugs and biologicals are included in the update.
  • How the article is organized around ASC-related code announcements.
  • The scope of the article as a quarterly HCPCS update notice.

Who Should Read This

  • Medical coders
  • Billing specialists
  • Charge capture staff
  • Revenue cycle professionals
  • ASC administrators

Codes Discussed


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The AHA Coding Clinic for HCPCS includes:

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  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
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Access to this feature is available in the following products:
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