The official April 2024 update to the HCPCS Level II code set is now available on the Centers for Medicare & Medicaid Services website.
April update includes:
- 62 new codes
- 2 changes to scope and long description
- 21 obsolete codes
- 11 changes to long description
- 1 change to changes miscellaneous changes
Below are some code changes effective April 1.
New HCPCS Level II code:
Of the 62 new rules, several were requested by stakeholders during a public meeting hosted by the Centers for Medicare & Medicaid Services on November 28-30, 2023. The following new rules approved by CMS for Q2 2024.
Code | Action | Short Description | Long Description | Pricing Indicator |
A2026 | ADD | Restrata minimatrix, 5 mg | Restrata minimatrix, 5 mg | 46 |
This supply is a wound covering. | ||||
A4271 | ADD | Home lancing/test cartridges | Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per month | 34 |
Use this code to report POGO Automatic® test cartridges, which are for use with the POGO Automatic® blood glucose monitoring system (E0607). | ||||
A4438 | ADD | Adhesive clip ext ens contr | Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each | 38 |
This code identifies the Nalu™ Adhesive Clip used with the Nalu™ Neurostimulation System. The adhesive clip aids the patient in positioning, aligning, and securing the external therapy disk over the implantable neurostimulator. | ||||
A4564 | ADD | Pessary, disposable any type | Pessary, disposable, any type | 38 |
This code identifies private vaginal support indicated for temporary, nonsurgical management of pelvic organ prolapse in females. Note that A4561 and A4562 are revised. | ||||
A9293 | ADD | Fertility cycl tracking soft | Fertility cycle (contraception & conception) tracking software application, fda cleared, per month, includes accessories (e.g., thermometer) | 00 |
This code identifies Natural Cycles, a subscription-based software app that runs on the internet or a wi-fi enabled mobile device, used with patient-specific data and a woman’s basal temperature as a method of fertility control. | ||||
E0468 | ADD | Home vent dual fnct incl all | Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions | 31 |
The makers of VOCSN VC and VOCSN VC Pro ventilators requested this code. | ||||
E0736 | ADD | Transcut tibial nerv stimula | Transcutaneous tibial nerve stimulator | 32 |
This code identifies ZIDA Wearable Neuromodulation System for home use, indicated for the treatment of overactive bladder and the associated symptoms. | ||||
E2298 | ADD | Pwr seat elev sys for crt | Complex rehabilitative power wheelchair accessory, power seat elevation system, any type | 36 |
Use this code (in place of discontinued code E2300) to report a complex rehab technology power seat elevation system. | ||||
L1320 | ADD | Pectus carinatum ortho cust | Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated | 46 |
This is an external chest compressor (orthotic back brace) for non-surgical treatment of pectus carinatum deformities. | ||||
L5783 | ADD | Add low ext mec limb vol sys | Addition to lower extremity, user adjustable, mechanical, residual limb volume management system | 38 |
This code identifies RevoFit®, used in addition to current lower extremity base socket and socket replacement codes. | ||||
L5841 | ADD | Addition endoskletl knee-shi | Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control | 38 |
This code identifies Sure Stance Knee, an artificial leg prosthetic. | ||||
S4988 | ADD | Penile contractur devic manu | Penile contracture device, manual, greater than 3 lbs traction force | 00 |
The makers of the Restorex Penile Traction Device requested this code. The device is indicated to correct physical penile abnormalities. | ||||
S9002 | ADD | Intra-vag motion sens biofk | Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device | 00 |
Use this code to report the Leva Pelvic Health System, a prescription medical device with integrated software to provide pelvic floor muscle therapy for the treatment of female pelvic floor disorders and impairments. |
For more information, visit the AAPC Website
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