2015 HCPCS Code Update

The following list identifies changes to level II HCPCS codes for 2015.

Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on or after 1/1/2015.

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 12/31/2014, 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 1/1/2015.

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 1/1/2015.

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
JJ2274	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	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 email the PDAC by completing the DME PDAC Contact Form.