The following list identifies changes to level II Healthcare Common Procedure Coding System (HCPCS) codes for 2015.
Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on or after January 1, 2015.
Discontinued Codes/Deleted Modifiers: Codes or modifiers that are discontinued/deleted will continue to be valid for claims with dates of service on or before December 31, 2014, regardless of the date of claim submission. If there is a direct crosswalk for a discontinued/deleted code or modifier, it is listed in the table. The crosswalked codes are also “added” codes effective for dates of service on or after January 1, 2015.
There is no grace period that would allow submission of the discontinued code for dates of service in 2015.
Narrative Changes/Revised Modifiers: A description change for an existing code or modifier is effective for dates of service on or after January 1, 2015.
The appearance of a code in this list does not necessarily indicate coverage.
Cervical Traction Devices
Narrative Changes
| Code |
Old Narrative |
New Narrative |
| E0856 |
Cervical traction device, cervical collar with inflatable air bladder |
Cervical traction device, with inflatable air bladder(s) |
External Infusion Pumps
Added Code
| Code |
Narrative |
| A4602 |
Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10mg |
Discontinued Code
| Code |
Narrative |
Crosswalk to Code |
| J2271 |
Injection, morphine sulfate, 100mg |
J2270 |
| J2275 |
Injection, morphine sulfate (preservative-free sterile solution), per 10 mg |
J2274 |
Immunosuppressive Drugs
Added Code
| Code |
Narrative |
| Q2052 |
Services, supplies and accessories used in the home under the Medicare Intravenous Immune Globulin (IVIG) Demonstration (Effective 4/1/2014) |
Knee Orthoses
Added Code
| Code |
Narrative |
| K0901 |
Knee orthosis (KO), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf (Effective 10/1/2014) |
| K0902 |
Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf (Effective 10/1/2014) |
Power Wheelchair
Narrative Changes
| Code |
Old Narrative |
New Narrative |
| E0986 |
Manual wheelchair accessory, push activated power assist, each |
Manual wheelchair accessory, push-rim activated power assist system |
Miscellaneous
Added Code
| Code |
Narrative |
| A4459 |
Manual pump-operated enema system, includes balloon, catheter and all accessories, reusable, any type |
| A4601 |
Lithium ion battery, rechargeable, for non-prosthetic use, replacement |
Refractive Lenses
Narrative Changes
| Code |
Old Narrative |
New Narrative |
| V2799 |
Vision service, miscellaneous |
Vision item or service, miscellaneous |
Upper Limb Orthotics
Added Code
| Code |
Narrative |
| L3981 |
Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes fitting and adjustments |
Upper Limb Prosthetics
Added Code
| Code |
Narrative |
| L6026 |
Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal |
| L7259 |
Electronic wrist rotator, any type |
Discontinued Code
| Code |
Narrative |
Crosswalk to Code |
| L6025 |
Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device |
L6026 |
| L7260 |
Electronic wrist rotator, otto bock or equal |
L7259 |
| L7261 |
Electronic wrist rotator, any type |
L7259 |
Narrative Changes
| Code |
Old Narrative |
New Narrative |
| L7367 |
Lithium ion battery, replacement |
Lithium ion battery, rechargeable, replacement |
For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.
Revision History
| Date |
Update |
| 12/19/2014 |
Published on PDAC website |