New HCPCS Codes forWarfarin Testing and HIV Screening Tests

A new Level II HCPCS code was recently created by CMS to capture pharmacogenomic testing for warfarin responsiveness. For additional information regarding the warfarin testing, go to: http://www.cms.hhs.gov/Transmittals/ downloads/R111NCD.pdf and http://www.cms.hhs.gov/Transmittals/ downloads/R1880CP.pdf. CMS has determined that screening for Human Immunodeficiency Virus (HIV) infection is reasonable and necessary for early detection of HIV. Therefore, three (3) new Level II HCPCS G-codes were created to capture the screening tests performed for detection of HIV. Here is a listing of the new codes for the Warfarin Testing and the HIV Screening Test: HCPCS Code...

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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 short coding update explains a CMS-driven HCPCS Level II code addition and the creation of new G-codes associated with HIV screening. It is aimed at coders, billing staff, and compliance professionals who track HCPCS changes and need to stay current with Medicare-related reporting updates. The article provides a compact overview of the new code groupings and the general testing categories they represent.

Why This Topic Matters

Updates to HCPCS Level II codes can affect claim reporting, charge capture, and payer alignment. Knowing when new codes are introduced helps coding teams recognize which services are newly reportable and where to look for official CMS guidance.

What You Will Learn

  • Which broad service areas were addressed in the HCPCS update
  • That CMS issued a new Level II HCPCS code and new G-codes in connection with testing services
  • How the article groups the updated codes by testing category and purpose
  • Where to find the referenced CMS source materials for more detail

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Healthcare administrators

Codes Discussed


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