LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone Toll-free: 866.814.0192
Fax Toll-free: 866.818.0373
E-mail Address: orders at LEEDerGroup.com

2010-03 HCPCS Code Update

March 12, 2010

HCPCS Code Update – 2010

The following list identifies changes to level II Healthcare Common Procedure Coding System (HCPCS) codes for 2010.

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)

Narrative Changes

Code Old Narrative New Narrative

L4396 STATIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, PRESSURE REDUCTION, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT

New Narrative

L4396 STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT

External Breast Prostheses

Added Code

Code Narrative

L8031 BREAST PROSTHESIS, SILICONE OR EQUAL, WITH INTEGRAL ADHESIVE

L8032 NIPPLE PROSTHESIS, REUSABLE, ANY TYPE, EACH

Narrative Changes

Code Old Narrative New Narrative

L8030 BREAST PROSTHESIS, SILICONE OR EQUAL BREAST PROSTHESIS, SILICONE OR EQUAL, WITHOUT INTEGRAL ADHESIVE

Facial Prostheses

Added Code

Code Narrative

A4456 ADHESIVE REMOVER, WIPES, ANY TYPE, EACH

Discontinued Code

Code Narrative Crosswalk to Code

A4365 ADHESIVE REMOVER WIPES, ANY TYPE, PER 50 A4456

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

Lower Limb Prostheses

Added Code

Code Narrative

L5973 ENDOSKELETAL ANKLE FOOT SYSTEM, MICROPROCESSOR CONTROLLED FEATURE, DORSIFLEXION AND/OR PLANTAR FLEXION CONTROL, INCLUDES POWER SOURCE

Miscellaneous

Added Code

Code Narrative

A4466 GARMENT, BELT, SLEEVE OR OTHER COVERING, ELASTIC OR SIMILAR STRETCHABLE MATERIAL, ANY TYPE, EACH (Note: Noncovered)

Narrative Changes

Code Old Narrative New Narrative

E0700 SAFETY EQUIPMENT (E.G., BELT, HARNESS OR VEST) SAFETY EQUIPMENT, DEVICE OR ACCESSORY, ANY TYPE

E0249 PAD FOR WATER CIRCULATING HEAT UNIT PAD FOR WATER CIRCULATING HEAT UNIT, FOR REPLACEMENT ONLY

Discontinued Code

Code Narrative Crosswalk to Code

E1340 REPAIR OR NONROUTINE SERVICE FOR DURABLE MEDICAL EQUIPMENT REQUIRING THE SKILL OF A TECHNICIAN, LABOR COMPONENT, PER 15 MINUTES (Note: Invalid for claim submission to Medicare for dates of service on or after 04/01/2009) K0739 or K0740

(Note: Effective 04/01/2009)

L0210 THORACIC, RIB BELT A4466

L3651 SHOULDER ORTHOSIS, SINGLE SHOULDER, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) A4466

L3652 SHOULDER ORTHOSIS, DOUBLE SHOULDER, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) A4466

L3700 ELBOW ORTHOSIS, ELASTIC WITH STAYS, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT A4466

L3701 ELBOW ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) A4466

L3909 WRIST ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) A4466

L3911 WRIST HAND FINGER ORTHOSIS, ELASTIC, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT (E.G. NEOPRENE, LYCRA) A4466

L6639 UPPER EXTREMITY ADDITION, HEAVY DUTY FEATURE, ANY ELBOW None

Nebulizers

Added Code

Code Narrative

Q4074 ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 20 MICROGRAMS

Discontinued Code

Code Narrative Crosswalk to Code

Q4080 ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 20 MICROGRAMS Q4074

Ostomy Supplies

Added Code

Code Narrative

A4456 ADHESIVE REMOVER, WIPES, ANY TYPE, EACH

Discontinued Code

Code Narrative Crosswalk to Code

A4365 ADHESIVE REMOVER WIPES, ANY TYPE, PER 50 A4456

Oxygen and Oxygen Equipment

Added Code

Code Narrative

E0433 PORTABLE LIQUID OXYGEN SYSTEM, RENTAL; HOME LIQUEFIER USED TO FILL PORTABLE LIQUID OXYGEN CONTAINERS, INCLUDES PORTABLE CONTAINERS, REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK AND TUBING, WITH OR WITHOUT SUPPLY RESERVOIR AND CONTENTS GAUGE

Narrative Changes

Code Old Narrative New Narrative

E0441 OXYGEN CONTENTS, GASEOUS (FOR USE WITH OWNED GASEOUS STATIONARY SYSTEMS OR WHEN BOTH A STATIONARY AND PORTABLE GASEOUS SYSTEM ARE OWNED), 1 MONTH’S SUPPLY = 1UNIT STATIONARY OXYGEN CONTENTS, GASEOUS, 1 MONTH’S SUPPLY = 1 UNIT

E0442 OXYGEN CONTENTS, LIQUID (FOR USE WITH OWNED LIQUID STATIONARY SYSTEMS OR WHEN BOTH A STATIONARY AND PORTABLE GASEOUS SYSTEM ARE OWNED), 1 MONTH’S SUPPLY = 1 UNIT STATIONARY OXYGEN CONTENTS, LIQUID, 1 MONTH’S SUPPLY = 1 UNIT

E0443 PORTABLE OXYGEN CONTENTS, GASEOUS (FOR USE ONLY WITH PORTABLE GASEOUS SYSTEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED), 1 MONTH’S SUPPLY = 1 UNIT PORTABLE OXYGEN CONTENTS, GASEOUS, 1 MONTH’S SUPPLY = 1 UNIT

E0444 PORTABLE OXYGEN CONTENTS, LIQUID (FOR USE ONLY WITH PORTABLE LIQUID SYSTEMS WHEN NO STATIONARY GAS OR LIQUID SYSTEM IS USED), 1 MONTH’S SUPPLY = 1 UNIT PORTABLE OXYGEN CONTENTS, LIQUID, 1 MONTH’S SUPPLY = 1 UNIT

Patient Lifts

Added Code

Code Narrative

E1036 MULTI-POSITIONAL PATIENT TRANSFER SYSTEM, EXTRA-WIDE, WITH INTEGRATED SEAT, OPERATED BY CAREGIVER, PATIENT WEIGHT CAPACITY GREATER THAN 300 LBS

Narrative Changes

Code Old Narrative New Narrative

E1035 MULTI-POSITIONAL PATIENT TRANSFER SYSTEM, WITH INTEGRATED SEAT, OPERATED BY CARE GIVER MULTI-POSITIONAL PATIENT TRANSFER SYSTEM, WITH INTEGRATED SEAT, OPERATED BY CARE GIVER, PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 LBS

Spinal Orthoses

Added Code

Code Narrative

A4466 GARMENT, BELT, SLEEVE OR OTHER COVERING, ELASTIC OR SIMILAR STRETCHABLE MATERIAL, ANY TYPE, EACH (Note: Noncovered)

Surgical Dressings

Narrative Changes

Code Old Narrative New Narrative

A6549 GRADIENT COMPRESSION STOCKING, NOT OTHERWISE SPECIFIED (Note: Noncovered) GRADIENT COMPRESSION STOCKING/SLEEVE, NOT OTHERWISE SPECIFIED

Discontinued Code

Code Narrative Crosswalk to Code

A6200 COMPOSITE DRESSING, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING (Note: Invalid for claim submission to Medicare for dates of service on or after 01/01/2007) A6251

(Note: Effective 01/01/2007)

A6201 COMPOSITE DRESSING, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING (Note: Invalid for claim submission to Medicare for dates of service on or after 01/01/2007) A6252

(Note: Effective 01/01/2007)

A6202 COMPOSITE DRESSING, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING (Note: Invalid for claim submission to Medicare for dates of service on or after 01/01/2007) A6253

(Note: Effective 01/01/2007)

A6542 GRADIENT COMPRESSION STOCKING, CUSTOM MADE A6549

A6543 GRADIENT COMPRESSION STOCKING, LYMPHEDEMA A6549

Urological Supplies

Added Code

Code Narrative

A4336 INCONTINENCE SUPPLY, URETHRAL INSERT, ANY TYPE, EACH

A4360 DISPOSABLE EXTERNAL URETHRAL CLAMP OR COMPRESSION DEVICE, WITH PAD AND/OR POUCH, EACH (Note: Noncovered)

A4456 ADHESIVE REMOVER, WIPES, ANY TYPE, EACH

Discontinued Code

Code Narrative Crosswalk to Code

A4365 ADHESIVE REMOVER WIPES, ANY TYPE, PER 50 A4456

Wheelchair Options and Accessories

Discontinued Code

Code Narrative Crosswalk to Code

E2223 MANUAL WHEELCHAIR ACCESSORY, VALVE, ANY TYPE, REPLACEMENT ONLY, EACH None

E2393 POWER WHEELCHAIR ACCESSORY, VALVE FOR PNEUMATIC TIRE TUBE, ANY TYPE, REPLACEMENT ONLY, EACH None

E2399 POWER WHEELCHAIR ACCESSORY, NOT OTHERWISE CLASSIFIED INTERFACE, INCLUDING ALL RELATED ELECTRONICS AND ANY TYPE MOUNTING HARDWARE K0108

Modifiers

Added Modifiers

Modifier Narrative

J4 DMEPOS ITEM SUBJECT TO DMEPOS COMPETITIVE BIDDING PROGRAM THAT IS FURNISHED BY A HOSPITAL UPON DISCHARGE