New HCPCS codes for drugs and biologicals with OPPS pass-through status

Here is a listing of several HCPCS codes, long descriptor, and effective dates, granted OPPS pass-through status listed in the table below. HCPCS Code Long Descriptor Pass-through Status Effective Date C9462 Injection, delafloxacin, 1 mg April 1, 2018 C9463 Injection, aprepitant, 1 mg April 1, 2018 C9464 Injection, rolapitant, 0.5 mg April 1, 2018 C9465 Hyaluronan or derivative, Durolane, for intra-articular injection, per dose April 1, 2018 C9466 Injection, benralizumab, 1 mg April 1, 2018 C9467 Injection, rituximab and hyaluronidase, 10 mg April 1, 2018 C9468 Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, Rebinyn, 1 i.u. April...

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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 summarizes a set of HCPCS code updates tied to OPPS pass-through status for drugs and biologicals. It is relevant to hospital outpatient billing, coding, and reimbursement teams that track new code assignments, effective dates, and code replacement notices for OPPS-related services.

Why This Topic Matters

Updates like these affect how facilities monitor newly available HCPCS identifiers and keep charge capture, outpatient billing, and coding references current. The article is useful for professionals who need to stay aligned with quarterly or midyear HCPCS changes related to drugs and biologicals under OPPS.

Article Sections

  1. HCPCS code listing and effective dates

    A table of newly listed HCPCS identifiers for drugs and biologicals, along with their effective dates under OPPS pass-through status.

  2. Code replacement note

    A brief notice identifying a replacement relationship between two HCPCS identifiers.

What You Will Learn

  • Which HCPCS updates are included in the article
  • How the article is organized around effective dates
  • What general types of drugs and biologicals are covered
  • Where a replacement notice is provided for a HCPCS identifier

Who Should Read This

  • Hospital outpatient coders
  • OPPS reimbursement staff
  • Revenue cycle teams
  • Billing compliance staff
  • Coding auditors

Codes Discussed


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