First Coast Service Options Inc. has revised local coverage determinations (LCDs) impacted by the 2015 Healthcare Common Procedure Coding System (HCPCS) annual update. Procedure codes have been added, revised, replaced and deleted accordingly:
| LCD Title | Changes |
| Allergy Testing | Descriptor change for CPT® code 84600 |
| Deleted HCPCS codes G0461 and G0462 | |
| Added CPT® codes 88341, 88342, and 88344 | |
| Arthrocentesis | Descriptor changes for CPT® codes 20600, 20605, and 20610 |
| Added code CPT® codes 20604, 20606, and 20611 | |
| Developed LCD “Coding Guidelines” attachment | |
| Biventricular Pacing/Cardiac Resynchronization Therapy | Descriptor changes for CPT® codes 33217, 33224, 33225, 33230, 33231, 33240, and 33249 |
| Bone Mineral Density Studies | Deleted CPT® code 77082 |
| Added CPT® codes 77085 and 77086 | |
| Cardiovascular Nuclear Imaging Studies | Deleted HCPCS code J0151 |
| Added HCPCS code J0153 | |
| Colorectal Cancer Screening | Added HCPCS code G0464 |
| Added language pertaining to CPT® code 00810 and Modifier 33 (Related to change request (CR) 8874) | |
| Revised LCD to re-state the utilization parameters and ordering requirements (Related to CR 8881) | |
| Diagnostic and Therapeutic Esophagogastroduodenoscopy | Descriptor change for CPT® codes 43247 and 43250 |
| Diagnostic Colonoscopy | Descriptor change for CPT® codes 44388, 44390, 44391, 44392, 45378, 45379, 45380, 45381, 45382, 45384, 45385, 45386, 45391, and 45392 |
| Deleted CPT® codes 44393, 44397, 45355, 45383, and 45387 | |
| Added HCPCS codes G6019, G6020, G6021, G6024, and G6025 | |
| Erythropoiesis Stimulating Agents | Removed HCPCS code J0890 based on the nationwide recall and revisions in language were made throughout the LCD for clarification |
| Added HCPCS codes J0887 and J0888 | |
| Ferrlecit® and Venofer® | Added HCPCS code J1439 |
| Changed LCD Title to Parenteral Iron Supplementation for Patients Receiving ESA Therapy for Anemia of Chronic Kidney Disease or Iron Deficiency Anemia | |
| Gene Expression Profiling Panel for use in the Management of Breast Cancer Treatment | Removed unlisted CPT® code 84999 and replaced with CPT® code 81519 |
| Genetic Testing for Lynch Syndrome | Deleted HCPCS code G0461 and G0462 |
| Added CPT® codes 81288, 88341, 88342, and 88344 | |
| Hemophilia Clotting Factors | Descriptor change for HCPCS code J7195 |
| Deleted HCPCS codes C9133 and C9135 | |
| Removed unlisted HCPCS code C9399 and replaced with HCPCS code C9136 | |
| Added HCPCS codes J7182, J7200 and J7201 | |
| Hyperbaric Oxygen Therapy (HBO Therapy) | Added HCPCS code G0277 |
| Implantable Infusion Pump for the Treatment of Chronic Intractable Pain (Coding Guidelines only) | Deleted HCPCS code J2275 |
| Added HCPCS code J2274 | |
| Independent Diagnostic Testing Facility (IDTF) (Coding Guidelines only) | Deleted CPT® codes 74291, 76645, and 77082 |
| Added CPT® codes 76641, 76642, 77063, 77085, 77086, 93260, 93261, and HCPCS code G0279 | |
| Intensity Modulated Radiation Therapy (IMRT) | Deleted CPT® codes 0073T, 76950, 77305, 77310 ,77315, 77326, 77327, 77328, 77402, 77403, 77404, 77406, 77407, 77408, 77409, 77411, 77412, 77413, 77414, 77416, 77418 , and 77421 |
| Added HCPCS codes G6001, G6002, G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014, G6015, G6016 and CPT® codes 77306, 77307, 77316, 77317, and 77318 | |
| Mohs Micrographic Surgery (MMS) | Deleted HCPCS codes G0461 and G0462 |
| Added CPT® codes 88341, 88342, and 88344 | |
| Molecular Pathology Procedures | Descriptor change for CPT® code 81245 |
| Added CPT® codes 81246, 81288, and 81313 | |
| Noncovered Services | Descriptor change for CPT® code 22856 |
| Deleted CPT® code 0059T (replaced with CPT® codes 0357T and 89337), CPT® code 0092T (replaced with CPT® code 0375T), CPT® code 0181T (replaced with CPT® code 92145), CPT® code 0199T (replaced with unlisted CPT® code 95999 – Tremor measurement with accelerometer(s) and/or gyroscope(s), CPT® code 0226T (replaced with HCPCS code G6027), CPT® code 0227T (replaced with HCPCS code G6028), CPT® code 0239T (replaced with CPT® code 93702), CPT® code 0334T (replaced with CPT® code 27279), unlisted CPT® codes 53899/55899 – Urethral lift (replaced with CPT® codes 52441/52442), and CPT® codes 87620/87622 (replaced with CPT® codes 87623,87624, and 87625) | |
| Deleted CPT® code 88349 | |
| Removed HCPCS code P9019 from the “Coding Guidelines” attachment and replaced with HCPCS code P9020 (Not related to HCPCS update) | |
| Added CPT® code 22858 | |
| Paclitaxel (Taxol®) | Deleted HCPCS code J9265 |
| Added HCPCS code J9267 | |
| Psychiatric Diagnostic Evaluation and Psychotherapy Services | Deleted HCPCS code M0064 |
| Qualitative Drug Screen | Deleted CPT® code 80102 |
| Added HCPCS code G6058 | |
| Qutenza® (capsaicin) 8% patch | Deleted HCPCS code J7335 |
| Added HCPCS code J7336 | |
| Radiation Therapy for T1 Basal Cell and Squamous Cell Carcinomas of the Skin | Descriptor change for CPT® code 77401 |
| Deleted CPT® codes 77402, 77403, 77404, 77406, 77407, 77408, 77409, 77411, 77412, 77413, 77414, 77416, and 77418 | |
| Added HCPCS codes G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014, G6015 | |
| Screening and Diagnostic Mammography | Descriptor change for HCPCS codes G0204 and G0206 |
| Added CPT® code 77063 and HCPCS code G0279 | |
| Skin Substitutes | Added HCPCS codes C9349, Q4150, Q4151, Q4152, Q4153, Q4154, Q4155, Q4156, Q4157, Q4158, Q4159, and Q4160 to “The following HCPCS codes are not separately payable and are considered not medically reasonable and necessary products” section of the LCD |
| Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) (Coding Guidelines only) | Deleted HCPCS codes G0173 and G0251 |
| Transesophageal Echocardiogram | Added CPT® code 93355 |
| Vertebroplasty, Vertebral Augmentation; Percutaneous | Deleted CPT® code 22520, 22521, 22522, 22523, 22524, 22525, 72291, and 72292 |
| Added CPT® codes 22510, 22511, 22512, 22513, 22514, and 22515 | |
| Viscosupplementation Therapy for Knee | Descriptor change for CPT® codes 20610 and 27370 |
| Removed unlisted HCPCS codes C9399/J3490 (Monovisc) and replaced with HCPCS code J7327 |
