HCPCS 2010: CMS Debuts New J Codes

November 10, 2009

Synvisc, penicillin get new codes — along with injectibles for neurology, bleeding.

Hot on the heels of the new CPT codes, CMS follows suit by publishing the 2010 HCPCS code set, posted on the CMS Web site on Nov. 3. You’ll find scores of changes.

What follows is a small sampling of what you’ll face in 2010:

Synvisc: HCPCS will delete existing code J7322 (Hyaluronan or derivative, Synvisc, for intra-articular injection, per dose) and introduce J7325 (Hyaluronan or derivative, Synvisc or Synvisc-One, for intraarticular injection, 1 mg).

This change puzzles some coders, since the fees for Synvisc are vastly different than the fees for Synvisc-One. Keep an eye on your carrier’s policies to see how they advise reporting new code J7325.

Penicillin injectible: In 2010, you’ll find the debut of code J0559 (Injection, penicillin G benzathine and penicillin G procaine, 2500 units). With the introduction of this code, HCPCS will delete the previous penicillin J codes J0530-J0550.

Neurology injectible: HCPCS will debut J0586 (Injection, abobotulinumtoxinA, 5 units), a new code to represent the neurotoxin Abobotulinumtoxin A. Coders were previously reporting J3490 (Unclassified drugs) for this product.

Bleeding injectible: You’ll also find new code J1680 (Injection, human fibrinogen concentrate, 100 mg) available to you in 2010. Practitioners use this product when treating bleeding episodes.

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