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HCPCS Level II

HCPCS Level II 2004 code changes

Every HCPCS Level II code whose CMS add date or termination date falls in 2004, grouped by effective date. Each code's own page carries its full record.

258
Added
0
Deleted

For HCPCS Level II, MedCoder records each code's CMS add date and termination date from the alpha-numeric file. A deletion is listed on the first day the code is no longer valid (the day after its CMS termination date). Description revisions between quarterly files are not recorded as changes.

Added effective January 1, 2004 (226)

  • A4216 — Sterile water, saline and/or dextrose, diluent/flush, 10 ml
  • A4217 — Sterile water/saline, 500 ml
  • A4248 — Chlorhexidine containing antiseptic, 1 ml
  • A4366 — Ostomy vent, any type, each
  • A4416 — Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
  • A4417 — Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
  • A4418 — Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
  • A4419 — Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
  • A4420 — Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
  • A4423 — Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
  • A4424 — Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
  • A4425 — Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
  • A4426 — Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
  • A4427 — Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
  • A4428 — Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
  • A4429 — Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
  • A4430 — Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
  • A4431 — Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
  • A4432 — Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
  • A4433 — Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
  • A4434 — Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
  • A4638 — Replacement battery for patient-owned ear pulse generator, each
  • A4671 — Disposable cycler set used with cycler dialysis machine, each
  • A4672 — Drainage extension line, sterile, for dialysis, each
  • A4673 — Extension line with easy lock connectors, used with dialysis
  • A4674 — Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
  • A4728 — Dialysate solution, non-dextrose containing, 500 ml
  • A6407 — Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
  • A6441 — Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
  • A6442 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
  • A6443 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
  • A6444 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
  • A6445 — Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
  • A6446 — Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
  • A6447 — Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
  • A6448 — Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
  • A6449 — Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
  • A6450 — Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
  • A6451 — Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
  • A6452 — High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
  • A6453 — Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
  • A6454 — Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
  • A6455 — Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
  • A6456 — Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
  • A6550 — Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories
  • A7046 — Water chamber for humidifier, used with positive airway pressure device, replacement, each
  • A7520 — Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each
  • A7521 — Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each
  • A7522 — Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each
  • A7523 — Tracheostomy shower protector, each
  • A7524 — Tracheostoma stent/stud/button, each
  • A7525 — Tracheostomy mask, each
  • A7526 — Tracheostomy tube collar/holder, each
  • A9280 — Alert or alarm device, not otherwise classified
  • A9526 — Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries
  • A9528 — Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
  • A9529 — Iodine i-131 sodium iodide solution, diagnostic, per millicurie
  • A9530 — Iodine i-131 sodium iodide solution, therapeutic, per millicurie
  • A9531 — Iodine i-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries)
  • A9532 — Iodine i-125 serum albumin, diagnostic, per 5 microcuries
  • A9999 — Miscellaneous dme supply or accessory, not otherwise specified
  • C1819 — Surgical tissue localization and excision device (implantable)
  • C9399 — Unclassified drugs or biologicals
  • E0118 — Crutch substitute, lower leg platform, with or without wheels, each
  • E0140 — Walker, with trunk support, adjustable or fixed height, any type
  • E0190 — Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories
  • E0240 — Bath/shower chair, with or without wheels, any size
  • E0247 — Transfer bench for tub or toilet with or without commode opening
  • E0248 — Transfer bench, heavy duty, for tub or toilet with or without commode opening
  • E0300 — Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
  • E0301 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
  • E0302 — Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
  • E0303 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
  • E0304 — Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
  • E0470 — Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
  • E0471 — Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
  • E0472 — Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
  • E0561 — Humidifier, non-heated, used with positive airway pressure device
  • E0562 — Humidifier, heated, used with positive airway pressure device
  • E0637 — Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels
  • E0638 — Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels
  • E0675 — Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)
  • E0955 — Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
  • E0956 — Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each
  • E0957 — Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each
  • E0960 — Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware
  • E0981 — Wheelchair accessory, seat upholstery, replacement only, each
  • E0982 — Wheelchair accessory, back upholstery, replacement only, each
  • E0983 — Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, joystick control
  • E0984 — Manual wheelchair accessory, power add-on to convert manual wheelchair to motorized wheelchair, tiller control
  • E0985 — Wheelchair accessory, seat lift mechanism
  • E0986 — Manual wheelchair accessory, power assist system
  • E1002 — Wheelchair accessory, power seating system, tilt only
  • E1003 — Wheelchair accessory, power seating system, recline only, without shear reduction
  • E1004 — Wheelchair accessory, power seating system, recline only, with mechanical shear reduction
  • E1005 — Wheelchair accessory, power seating system, recline only, with power shear reduction
  • E1006 — Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction
  • E1007 — Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction
  • E1008 — Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction
  • E1009 — Wheelchair accessory, addition to power seating system, mechanically linked leg elevation system, including pushrod and leg rest, each
  • E1010 — Wheelchair accessory, addition to power seating system, power leg elevation system, including leg rest, pair
  • E1028 — Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
  • E1029 — Wheelchair accessory, ventilator tray, fixed
  • E1030 — Wheelchair accessory, ventilator tray, gimbaled
  • E1391 — Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
  • E1634 — Peritoneal dialysis clamps, each
  • E2120 — Pulse generator system for tympanic treatment of inner ear endolymphatic fluid
  • E2201 — Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches
  • E2202 — Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches
  • E2203 — Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches
  • E2204 — Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 inches
  • E2300 — Wheelchair accessory, power seat elevation system, any type
  • E2301 — Wheelchair accessory, power standing system, any type
  • E2310 — Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware
  • E2311 — Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware
  • E2321 — Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
  • E2322 — Power wheelchair accessory, hand control interface, multiple mechanical switches, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware
  • E2323 — Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated
  • E2324 — Power wheelchair accessory, chin cup for chin control interface
  • E2325 — Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware
  • E2326 — Power wheelchair accessory, breath tube kit for sip and puff interface
  • E2327 — Power wheelchair accessory, head control interface, mechanical, proportional, including all related electronics, mechanical direction change switch, and fixed mounting hardware
  • E2328 — Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware
  • E2329 — Power wheelchair accessory, head control interface, contact switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware
  • E2330 — Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional, including all related electronics, mechanical stop switch, mechanical direction change switch, head array, and fixed mounting hardware
  • E2331 — Power wheelchair accessory, attendant control, proportional, including all related electronics and fixed mounting hardware
  • E2340 — Power wheelchair accessory, nonstandard seat frame width, 20-23 inches
  • E2341 — Power wheelchair accessory, nonstandard seat frame width, 24-27 inches
  • E2342 — Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 inches
  • E2343 — Power wheelchair accessory, nonstandard seat frame depth, 22-25 inches
  • E2351 — Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface
  • E2360 — Power wheelchair accessory, 22nf non-sealed lead acid battery, each
  • E2361 — Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)
  • E2362 — Power wheelchair accessory, group 24 non-sealed lead acid battery, each
  • E2363 — Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
  • E2364 — Power wheelchair accessory, u-1 non-sealed lead acid battery, each
  • E2365 — Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)
  • E2366 — Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each
  • E2367 — Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or non-sealed, each
  • E2402 — Negative pressure wound therapy electrical pump, stationary or portable
  • E2500 — Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time
  • E2502 — Speech generating device, digitized speech, using pre-recorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time
  • E2504 — Speech generating device, digitized speech, using pre-recorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time
  • E2506 — Speech generating device, digitized speech, using pre-recorded messages, greater than 40 minutes recording time
  • E2508 — Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device
  • E2510 — Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access
  • E2511 — Speech generating software program, for personal computer or personal digital assistant
  • E2512 — Accessory for speech generating device, mounting system
  • E2599 — Accessory for speech generating device, not otherwise classified
  • G0302 — Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services
  • G0303 — Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services
  • G0304 — Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services
  • G0305 — Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services
  • G0306 — Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count
  • G0307 — Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)
  • G0328 — Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous
  • G0339 — Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment
  • G0340 — Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment
  • J0215 — Injection, alefacept, 0.5 mg
  • J0583 — Injection, bivalirudin, 1 mg
  • J0595 — Injection, butorphanol tartrate, 1 mg
  • J1335 — Injection, ertapenem sodium, 500 mg
  • J1595 — Injection, glatiramer acetate, 20 mg
  • J2001 — Injection, lidocaine hcl for intravenous infusion, 10 mg
  • J2185 — Injection, meropenem, 100 mg
  • J2280 — Injection, moxifloxacin, 100 mg
  • J2353 — Injection, octreotide, depot form for intramuscular injection, 1 mg
  • J2354 — Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg
  • J2505 — Injection, pegfilgrastim, 6 mg
  • J2783 — Injection, rasburicase, 0.5 mg
  • J3411 — Injection, thiamine hcl, 100 mg
  • J3415 — Injection, pyridoxine hcl, 100 mg
  • J3465 — Injection, voriconazole, 10 mg
  • J3486 — Injection, ziprasidone mesylate, 10 mg
  • J7303 — Contraceptive supply, hormone containing vaginal ring, each
  • J9098 — Injection, cytarabine liposome, 10 mg
  • J9178 — Injection, epirubicin hcl, 2 mg
  • J9263 — Injection, oxaliplatin, 0.5 mg
  • J9395 — Injection, fulvestrant, 25 mg
  • L0112 — Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated
  • L0861 — Addition to halo procedure, replacement liner/interface material
  • L1831 — Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment
  • L1907 — Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
  • L1951 — Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
  • L1971 — Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
  • L3031 — Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each
  • L3917 — Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
  • L5673 — Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, for use with locking mechanism
  • L5679 — Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism
  • L5681 — Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
  • L5683 — Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
  • L8511 — Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
  • L8512 — Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
  • L8513 — Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
  • L8514 — Tracheoesophageal puncture dilator, replacement only, each
  • L8631 — Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)
  • L8659 — Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size
  • P9051 — Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit
  • P9052 — Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit
  • P9053 — Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit
  • P9054 — Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit
  • P9055 — Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit
  • P9056 — Whole blood, leukocytes reduced, irradiated, each unit
  • P9057 — Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit
  • P9058 — Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit
  • P9059 — Fresh frozen plasma between 8-24 hours of collection, each unit
  • P9060 — Fresh frozen plasma, donor retested, each unit
  • S2095 — Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres
  • S2225 — Myringotomy, laser-assisted
  • S3853 — Genetic testing for myotonic muscular dystrophy
  • S8948 — Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes
  • T2101 — Human breast milk processing, storage and distribution only
  • T5001 — Positioning seat for persons with special orthopedic needs
  • T5999 — Supply, not otherwise specified
  • V2121 — Lenticular lens, per lens, single
  • V2221 — Lenticular lens, per lens, bifocal
  • V2321 — Lenticular lens, per lens, trifocal
  • V2745 — Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens
  • V2756 — Eye glass case
  • V2761 — Mirror coating, any type, solid, gradient or equal, any lens material, per lens
  • V2762 — Polarization, any lens material, per lens
  • V2782 — Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens
  • V2783 — Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens
  • V2784 — Lens, polycarbonate or equal, any index, per lens
  • V2786 — Specialty occupational multifocal lens, per lens
  • V2797 — Vision supply, accessory and/or service component of another hcpcs vision code

Added effective April 1, 2004 (10)

  • S0160 — Dextroamphetamine sulfate, 5 mg
  • S0164 — Injection, pantoprazole sodium, 40 mg
  • S0194 — Dialysis/stress vitamin supplement, oral, 100 capsules
  • S0618 — Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
  • S2083 — Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
  • S2152 — Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition
  • S3890 — Dna analysis, fecal, for colorectal cancer screening
  • S9976 — Lodging, per diem, not otherwise classified
  • S9977 — Meals, per diem, not otherwise specified
  • S9988 — Services provided as part of a phase i clinical trial

Added effective July 1, 2004 (7)

  • G0329 — Electromagnetic therapy, to one or more areas for chronic stage iii and stage iv pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care
  • G9013 — Esrd demo basic bundle level i
  • G9014 — Esrd demo expanded bundle including venous access and related services
  • K0669 — Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from dme pdac
  • S0117 — Tretinoin, topical, 5 grams
  • S8301 — Infection control supplies, not otherwise specified
  • T2049 — Non-emergency transportation; stretcher van, mileage; per mile

Added effective October 1, 2004 (7)

  • G0341 — Percutaneous islet cell transplant, includes portal vein catheterization and infusion
  • G0342 — Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion
  • G0343 — Laparotomy for islet cell transplant, includes portal vein catheterization and infusion
  • S0109 — Methadone, oral, 5 mg
  • S0166 — Injection, olanzapine, 2.5 mg
  • S0515 — Scleral lens, liquid bandage device, per lens
  • S9097 — Home visit for wound care

Added effective December 1, 2004 (8)

  • G9017 — Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
  • G9018 — Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)
  • G9019 — Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project)
  • G9020 — Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
  • G9033 — Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project)
  • G9034 — Zanamivir, inhalation powder, administered through inhaler, brand, per 10 mg (for use in a medicare-approved demonstration project)
  • G9035 — Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project)
  • G9036 — Rimantadine hydrochloride, oral, brand, per 100 mg (for use in a medicare-approved demonstration project)

Source: CMS HCPCS Level II alpha-numeric file (add and termination dates).

Source data

Source organization
CMS
Source release
HCPCS Level II October 2026 alpha-numeric file
Source file
october-2026-alpha-numeric-hcpcs-file.zip
File checksum (SHA-256)
c25240c63108756d4ba6c0ea785c517117d83bfed9526c51da8acf123de1feb6
Data read date
Data not available in the current MedCoder release record.
Effective date
CMS effective dates within 2004
Release type
Quarterly (January, April, July, October), with occasional mid-quarter additions
Methodology
Each code's add date and termination date are read from the alpha-numeric file. A deletion is dated the first day the code is no longer valid, the day after its termination date. Description revisions are not recorded as changes.

These changes are based on recorded release data. MedCoder does not generate coding changes with AI.

All releases in the Change Ledger