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HCPCS Update: Prepare for Medicare’s July Coverage Changes to Zometa and Doxil Codes

Posted on 23. May, 2013 by in Hot Coding Topics

Add 2 new Q codes to your system to keep your coding compliant.

The July 2013 HCPCS update has coding changes in store for both liposomal doxorubicin HCl and zoledronic acid. Pay attention both to the new codes available and the coverage changes Medicare will make to existing codes.

Resource: To view the complete list of updates, download the file for July 1, 2013, fromwww.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS_Quarterly_Update.html.

Doxil’s J9002 Will Switch to ‘Not Payable by Medicare’

Doxil code J9002 (Injection, doxorubicin hydrochloride, liposomal, Doxil, 10 mg) was added just a few months ago in January. But effective July 1, 2013, Medicare will change the code’s coverage status from D, “Special coverage instructions apply,” to I, “Not payable by Medicare.”

On the same date, Medicare will add a new liposomal doxorubicin HCl code with special coverage status D: Q2050 (Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10mg).

History: These...

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