The following list identifies changes to level II Healthcare Common Procedure Coding System (HCPCS) codes for 2010.
LG Note: this is partial list only.
Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on or after January 1, 2010.
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 December 31, 2009, 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 January 1, 2010.
There is no grace period that would allow submission of the discontinued code for dates of service in 2010.
Narrative Changes/Revised Modifiers: A description change for an existing code or modifier is effective for dates of service on or after January 1, 2010.
The appearance of a code in this list does not necessarily indicate coverage.
Ankle-Foot and Knee-Ankle-Foot Orthoses
Added Code Code Narrative
A4466 GARMENT, BELT, SLEEVE OR OTHER COVERING, ELASTIC OR SIMILAR STRETCHABLE MATERIAL, ANY TYPE, EACH (Note: Noncovered)
Knee Orthoses
Added Code Code Narrative
A4466 GARMENT, BELT, SLEEVE OR OTHER COVERING, ELASTIC OR SIMILAR STRETCHABLE MATERIAL, ANY TYPE, EACH (Note: Noncovered)
Discontinued Code Code Narrative Crosswalk to Code
L1800 KNEE ORTHOSIS, ELASTIC WITH STAYS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT A4466
L1815 KNEE ORTHOSIS, ELASTIC OR OTHER ELASTIC TYPE MATERIAL WITH CONDYLAR PAD, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT A4466
L1825 KNEE ORTHOSIS, ELASTIC KNEE CAP, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT A4466
L1901 ANKLE ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) A4466
L2770 ADDITION TO LOWER EXTREMITY ORTHOSIS, ANY MATERIAL – PER BAR OR JOINT None