INSTALLATION NOTES FOR ACPT - CPT FILES V2.23 Patch 1 ================================================================================ PREFIX: ACPT - CPT FILES CURRENT VERSION: 2.23 PATCH#: 1 RELEASE DATE: March 2023 ================================================================================ ****** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** NOTE ******* ******************************************************************************** ** READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION!!! ** ******************************************************************************** ****** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** NOTE ******* ******************************************************************************** ================================================================================ 1. GENERAL INFORMATION a) This release contains the CPT/HCPCS code updates for Quarter 2 of CY 2023. b) Off-cycle CPT/HCPCS code updates (COVID-19 related) 3/17/2023: One new CPT code has been established for the Pfizer-BioNTech 3MCG COVID-19 Vaccine bivalent booster dose administration. The Pfizer-BioNTech COVID-19 Vaccine received an updated FDA EUA on 3/14/2023, which activates the CPT administration code effective 3/14/2023. New CPT: 0174A Revised CPT: 0173A 3/17/2023: Due to the ending of the Public Health Emergency, five HCPCS codes have been inactivated by CMS, effective 5/12/2023. Inactive HCPCS: G2023 G2024 U0003 U0004 U0005 2. CONTENTS OF DISTRIBUTION a) acpt2023.01b - Global KIDS file b) acpt2023.01n - Notes file 3. REQUIREMENTS a) Kernel v 8.0 Patch 1018 or later b) FileMan v 22.0 Patch 1018 or later c) Kernel Toolkit v 7.3 or later d) ACPT v 2.23 or later e) BCSV v 1.0 Patch 3 or later 4. INSTALLATION INSTRUCTIONS a) D ^%GOGEN saving the following GLOBALS: ^ICPT CPT ^DIC(81.3 CPT Modifier b) Load the Global Distribution into KIDS using option 1 on the Install menu. The distribution was released in a file named acpt2023.01b. c) For results, use the KIDS "Install File Print" option to view/print the "ACPT*2.23*1" entry. 5. POINT OF CONTACT OIT User Support (IHS) Phone: (888) 830-7280 Web: https://www.ihs.gov/itsupport/ Email: itsupport@ihs.gov ################################################################################ # # # EXAMPLE of loading Global build - acpt2023.01b # # # ################################################################################ D ^XUP Setting up programmer environment This is a PRODUCTION account. Terminal Type set to: C-VT100 Select OPTION NAME: XPD MAIN Kernel Installation & Distribution System Edits and Distribution ... Utilities ... Installation ... Patch Monitor Main Menu ... Select Kernel Installation & Distribution System Option: INstallation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 1 Load a Distribution Enter a Host File: C:\Patches\ACPT 2.23 P1\acpt2023.01b KIDS Distribution saved on Mar 17, 2023@10:57:30 Comment: CY2023 Q2/COVID-19 MARCH 2023 This Distribution contains Transport Globals for the following Package(s): ACPT*2.23*1 Distribution OK! This is a Global Distribution. It contains Global(s) that will update your system at this time. The following Global(s) will be installed: ^ACPT Replace **WARNING - Global will be KILLED before install, Check global protection on ALL systems before continuing. If you continue with the Load, the Global(s) will be Installed at this time. Want to Continue with Load? YES// Loading Distribution... Build ACPT*2.23*1 has an Environmental Check Routine Want to RUN the Environment Check Routine? YES// ACPT*2.23*1 Will first run the Environment Check Routine, ACPTE Hello, SYSTEM MANAGER Checking Environment for CPT FILES V 2.23 Patch 1. Need at least XU v8.0 p1018.....XU v8.0 p1018 Present Need at least DI v22.0 p1018.....DI v22.0 p1019 Present Need at least XT v7.3.....XT v7.3 Present Need at least ACPT v2.23.....ACPT v2.23 Present Need at least BCSV v1.0 p3.....BCSV v1.0 p3 Present ENVIRONMENT OK. Globals will now be installed, OK? YES// Install Started for ACPT*2.23*1 : Mar 17, 2023@11:01:41 Installing Globals: ^ACPT Mar 17, 2023@11:01:41 Running Post Install routine POST^ACPTE 44 CPT New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0174A ADM SARSCV2 BVL 3MCG/0.2ML B N 3/14/2023 0364U ONC HL NEO GEN SEQ ALYS ALG N 4/1/2023 0365U ONC BLDR 10 PRB BLDR CA N 4/1/2023 0366U ONC BLDR 10 PRB RECR BLDR CA N 4/1/2023 0367U ONC BLDR 10 FLWG TRURL RESCJ N 4/1/2023 0368U ONC CLRCT CA MUT&MTHYLTN MRK N 4/1/2023 0369U IADNA GI PTHGN 31 ORG&21 ARG N 4/1/2023 0370U IADNA SURG WND PTHGN 34&21 N 4/1/2023 0371U IADNA GU PTHGN SEMIQ DNA16&1 N 4/1/2023 0372U NFCT DS GU PTHGN ARG DETCJ N 4/1/2023 0373U IADNA RSP TR NFCT 17 8 13&16 N 4/1/2023 0374U IADNA GU PTHGN 21 ORG&21ARG N 4/1/2023 0375U ONC OVRN BCHM ASY 7 PRTN ALG N 4/1/2023 0376U ONC PRST8 CA IMG ALYS 128 N 4/1/2023 0377U CV DS QUAN ADVSRM/PLSM LPRTN N 4/1/2023 0378U RFC1 REPEAT XPNSJ VRNT ALYS N 4/1/2023 0379U TGSAP SL OR NEO DNA523&RNA55 N 4/1/2023 0380U RX METB ADVRS TRGT SQ ALY 20 N 4/1/2023 0381U MAPLE SYRUP UR DS MNTR QUAN N 4/1/2023 0382U HYPRPHENYLALNINMIA MNTR QUAN N 4/1/2023 0383U TYROSINEMIA TYP I MNTR QUAN N 4/1/2023 0384U NEPH CKD RSK HI STG KDN DS N 4/1/2023 0385U NEPH CKD ALG RSK DBTC KDN DS N 4/1/2023 0386U GI BARRETT ESOPH MTHYLTN ALY N 4/1/2023 0791T MOTR COG VR GAIT TRAIN EA 15 N 7/1/2023 0792T APPL SLVR DIAMN FLUORIDE 38% N 7/1/2023 0793T PRQ TCAT THRM ABLT NRV P-ART N 7/1/2023 0794T PT SPEC ALG RX-ONC TX OPTION N 7/1/2023 0795T TCAT INS 2CHMBR LDLS PM CMPL N 7/1/2023 0796T TCAT INS 2CHMBR LDLS PM RA N 7/1/2023 0797T TCAT INS 2CHMBR LDLS PM RV N 7/1/2023 0798T TCAT RMV 2CHMBR LDLS PM CMPL N 7/1/2023 0799T TCAT RMVL 2CHMBR LDLS PM RA N 7/1/2023 0800T TCAT RMVL 2CHMBR LDLS PM RV N 7/1/2023 0801T TCAT RMV&RPL 2CHMBR LDLS PM N 7/1/2023 0802T TCAT RMV&RPL2CHMB LDLS PM RA N 7/1/2023 0803T TCAT RMV&RPL2CHMB LDLS PM RV N 7/1/2023 0804T PRGRMG EVL LDLS PM 2CHMBR IP N 7/1/2023 0805T TCAT S&IVC PRSTC VL IMPL PRQ N 7/1/2023 0806T TCAT S&IVC PRSTC VL IMPL OPN N 7/1/2023 0807T PULM TISS VNTJ ALYS PREV CT N 7/1/2023 0808T PULM TISS VNTJ ALYS W/CT N 7/1/2023 0809T ARTHRD SI JT PRQ TFX&IMPLT N 7/1/2023 0810T SUBRTA NJX RX AGT W/VTRC N 7/1/2023 3 CPT Updated Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0173A ADM SARSCV2 BVL 3MCG/0.2ML 3 L 12/8/2022 0022U TGSAP NSM LUNG NEO DNA&RNA23 S L 4/1/2023 0095U EE&MJ BSC PRTN ELISA EST DEV S L 4/1/2023 2 CPT Inactive Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 0324U ONC OVAR SPHRD CELL 4 RX PNL I 4/1/2023 0325U ONC OVAR SPHRD CELL PARP I 4/1/2023 44 HCPCS New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= A2019 Kerecis marigen shld sq cm N 4/1/2023 A2020 Ac5 wound system N 4/1/2023 A2021 Neomatrix per sq cm N 4/1/2023 A4341 Iduc valve pat inst repl A S L 4/1/2023 A4342 Iduc valve sply repl A S L 4/1/2023 A4560 Nmes disposable A S L 4/1/2023 A6590 Urinary cath disp suc pump N 4/1/2023 A6591 Urinary cath suc pump N 4/1/2023 A7049 Epap nasal valve N 4/1/2023 C9145 Inj, aponvie, 1 mg N 4/1/2023 C9146 Inj, elahere, 1 mg N 4/1/2023 C9147 Inj, tremelimumab-actl, 1 mg N 4/1/2023 C9148 Inj, teclistamab-cqyv, 0.5mg N 4/1/2023 C9149 Inj, teplizumab-mzwv, 5 mcg N 4/1/2023 E0677 Non pneum seq comp trunk N 4/1/2023 E0711 Ue enclosure restr rom N 4/1/2023 E1905 Vr cbt therapy N 4/1/2023 J0208 Inj sodium thiosulfate 100mg N 4/1/2023 J0218 Inj olipudase alfa-rpcp 1mg N 4/1/2023 J0612 Calcium glucon (fresenius) N 4/1/2023 J0613 Calcium glucon (wg critical) N 4/1/2023 J1411 Inj, hemgenix, per tx dose N 4/1/2023 J1449 Inj eflapegrastim-xnst 0.1mg N 4/1/2023 J1747 Inj, spesolimab-sbzo, 1 mg N 4/1/2023 J2403 Chloroprocaine opht gel, 1mg N 4/1/2023 J9196 Inj gemcitabine hcl (accord) N 4/1/2023 J9294 Inj pemetrexed, hospira 10mg N 4/1/2023 J9296 Inj pemetrexed (accord) 10mg N 4/1/2023 J9297 Inj pemetrexed (sandoz) 10mg N 4/1/2023 K1035 Mol diag reader self-admn N 4/1/2023 L8678 Ext sply implt neurostim N 4/1/2023 M0010 Eom meos payment A S L C 4/1/2023 Q4265 Neostim tl per sq cm N 4/1/2023 Q4266 Neostim per sq cm N 4/1/2023 Q4267 Neostim dl per sq cm N 4/1/2023 Q4268 Surgraft ft per sq cm N 4/1/2023 Q4269 Surgraft xt per sq cm N 4/1/2023 Q4270 Complete sl per sq cm N 4/1/2023 Q4271 Complete ft per sq cm N 4/1/2023 Q5127 Inj, stimufend, 0.5 mg N 4/1/2023 Q5128 Inj, cimerli, 0.1 mg N 4/1/2023 Q5129 Inj, vegzelma, 10 mg N 4/1/2023 Q5130 Inj, fylnetra, 0.5 mg N 4/1/2023 S9563 Ht inj immuno diem N 4/1/2023 9 HCPCS Updated Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= A4628 Oropharyngeal suction cath L 4/1/2023 G0312 Immunize couns < 21yr 5-15 m L 4/1/2023 J1954 Leuprolide depot cipla 7.5mg S L 4/1/2023 K1019 Supp ext up limb tremor stim L 4/1/2023 Q5108 Injection, fulphila L 4/1/2023 Q5111 Injection, udenyca 0.5 mg L 4/1/2023 Q5120 Inj pegfilgrastim-bmez 0.5mg L 4/1/2023 Q5122 Inj, nyvepria L 4/1/2023 S9562 Ht inj palivizumab/ab diem S L 4/1/2023 8 HCPCS Inactive Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= C1834 Pressure sensor system, im I 4/1/2023 J0610 Calcium glucon (fresenius) I 4/1/2023 J0611 Calcium glucon (wg critical) I 4/1/2023 G2023 Specimen collect covid-19 I 5/12/2023 G2024 Spec coll snf/lab covid-19 I 5/12/2023 U0003 Cov-19 amp prb hgh thruput I 5/12/2023 U0004 Cov-19 test non-cdc hgh thru I 5/12/2023 U0005 Infec agen detec ampli probe I 5/12/2023 3 HCPCS Modifier Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG EFFECTIVE ==== ================= === ====== ===== ==== ========= JK DRUG SUPPLY 1 MONTH OR LESS N 4/1/2023 JL DRUG 3 MONTH SUPPLY N 4/1/2023 LU FRACTIONATED PAYMENT S L 4/1/2023 1 Vaccine Entries: V# VACCINE NAME STATUS DATE == ============ ======== ========== 68 Pfizer-BioNTech 3MCG COVID-19 Vaccine Bivalent Bst Active 3/14/2023 CPT: 0174A (ACPT*2.23*1) Added 3/14/2023 Patch Activation (ACPT*2.23*1) Active 3/14/2023 ----- CPT Vaccine Report ----- V# VACCINE NAME STATUS DATE == ============ ======== ========== 1 Pfizer-BioNTech Comirnaty Active 12/11/2020 2 Moderna COVID-19 Vaccine Active 12/18/2020 3 AstraZeneca COVID-19 Vaccine Inactive 12/17/2020 4 Janssen COVID-19 Vaccine Active 2/27/2021 5 Novavax COVID-19 Vaccine Active 7/13/2022 6 Pfizer-BioNTech TRS-SUCR COVID-19 Vaccine Active 10/29/2021 7 Moderna COVID-19 Vaccine Bst Active 10/20/2021 8 Pfizer-BioNTech 10MCG TRS-SUCR COVID-19 Vaccine Active 10/29/2021 9 Pfizer-BioNTech 3MCG TRS-SUCR COVID-19 Vaccine Active 6/17/2022 10 Moderna 50MCG COVID-19 Vaccine Bst Active 3/29/2022 11 Sanofi Pasteur COVID-19 Vaccine Bst Inactive 4/26/2022 12 Moderna 25MCG COVID-19 Vaccine Active 6/17/2022 13 Pfizer-BioNTech 30MCG COVID-19 Vaccine Bivalent Bst Active 8/31/2022 14 Moderna 50MCG COVID-19 Vaccine Bivalent Bst Active 8/31/2022 15 Moderna 25MCG COVID-19 Vaccine Bivalent Bst Active 10/12/2022 16 Pfizer-BioNTech 10MCG COVID-19 Vaccine Bivalent Bst Active 10/12/2022 17 Moderna 10MCG COVID-19 Vaccine Bivalent Bst Active 12/8/2022 18 Pfizer-BioNTech 3MCG COVID-19 Vaccine Bivalent 3rd Active 12/8/2022 51 Pfizer-BioNTech Comirnaty 3rd Active 8/12/2021 52 Moderna COVID-19 Vaccine 3rd Active 8/12/2021 56 Pfizer-BioNTech TRS-SUCR COVID-19 Vaccine 3rd Active 10/29/2021 58 Pfizer-BioNTech 10MCG TRS-SUCR COVID-19 Vaccine 3rd Active 1/3/2022 60 Moderna 50MCG COVID-19 Vaccine Primary + 3rd Active 6/17/2022 62 Moderna 25MCG COVID-19 Vaccine 3rd Active 6/17/2022 68 Pfizer-BioNTech 3MCG COVID-19 Vaccine Bivalent Bst Active 3/14/2023 71 Pfizer-BioNTech Comirnaty Bst Active 9/22/2021 74 Janssen COVID-19 Vaccine Bst Active 10/20/2021 75 Novavax COVID-19 Vaccine Bst Active 10/19/2022 76 Pfizer-BioNTech TRS-SUCR COVID-19 Vaccine Bst Active 10/29/2021 78 Pfizer-BioNTech 10MCG TRS-SUCR COVID-19 Vaccine Bst Active 5/17/2022 ----- CPT Table Update Summary ----- New Act Mod Ina Unmod Total CPT (12/8/2022) 0 0 1 0 0 1 CPT (3/14/2023) 1 0 0 0 0 1 CPT (4/1/2023) 23 0 2 2 0 27 CPT (7/1/2023) 20 0 0 0 0 20 HCPCS (4/1/2023) 40 4 9 3 0 56 HCPCS (5/12/2023) 0 0 0 5 0 5 HCPCS Mod (4/1/2023) 2 0 1 0 0 3 Vaccines 1 0 0 0 0 1 Updating KIDS files... ACPT*2.23*1 Installed. Mar 17, 2023@11:01:42 ################################################################################ # # #=================== LIST OF UPDATED CPT ENTRIES - MAR 2023 ===================# # # ################################################################################ ** CPT Additions ** Effective Mar 14, 2023 (1 code) 0174A Effective Apr 01, 2023 (23 codes) 0364U 0365U 0366U 0367U 0368U 0369U 0370U 0371U 0372U 0373U 0374U 0375U 0376U 0377U 0378U 0379U 0380U 0381U 0382U 0383U 0384U 0385U 0386U Effective Jul 01, 2023 (20 codes) 0791T 0792T 0793T 0794T 0795T 0796T 0797T 0798T 0799T 0800T 0801T 0802T 0803T 0804T 0805T 0806T 0807T 0808T 0809T 0810T ** CPT Revisions ** Effective Dec 08, 2022 (1 code) 0173A Effective Apr 01, 2023 (2 codes) 0022U 0095U ** CPT Inactivations ** Effective Apr 01, 2023 (2 codes) 0324U 0325U ** HCPCS Additions ** Effective Apr 01, 2023 (44 codes) A2019 A2020 A2021 A4341 A4342 A4560 A6590 A6591 A7049 C9145 C9146 C9147 C9148 C9149 E0677 E0711 E1905 J0208 J0218 J0612 J0613 J1411 J1449 J1747 J2403 J9196 J9294 J9296 J9297 K1035 L8678 M0010 Q4265 Q4266 Q4267 Q4268 Q4269 Q4270 Q4271 Q5127 Q5128 Q5129 Q5130 S9563 ** HCPCS Revisions ** Effective Apr 01, 2023 (9 codes) A4628 G0312 J1954 K1019 Q5108 Q5111 Q5120 Q5122 S9562 ** HCPCS Inactivations ** Effective Apr 01, 2023 (3 codes) C1834 J0610 J0611 Effective May 12, 2023 (5 codes) G2023 G2024 U0003 U0004 U0005 ** HCPCS Modifiers ** Effective Apr 01, 2023 (3 codes) JK JL LU