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Current/Prior Years CMS HCPCS Level II Coding Decisions: Narrative Summary

Guidance for Application Summaries for external HCPCS code applications submitted, beginning with the 2017-2018 coding cycle. These summaries are arranged in order of the public meeting date at which the individual applications were discussed.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 10, 2020

Visit MEARIS™ to submit HCPCS Level II coding and payment-related applications and requests.

Application Deadlines

  • Drug and biological products: The first business day of each quarter (January, April, July, and October).
  • Non-drug and non-biological items and services: The first business day of January and July.

Application Reviews

  • For each review cycle, we’ll consider applications that we receive and determine to be complete by the deadline.
  • For applications we receive after the deadline, we’ll consider them in an upcoming review cycle.
  • We’ll make every effort to complete the review within the applicable coding cycle for all timely and complete code applications. However, on rare occasions, a particularly complex or multi-faceted decision may require additional evaluation beyond the timeframe of the coding cycle. In such cases, CMS maintains the flexibility at its discretion to continue consideration of that application into the next coding cycle. 

Decisions

To view all CMS coding decisions, visit HCPCS Quarterly Update. In 2020, consistent with implementing shorter and more frequent HCPCS Level II coding cycles, CMS began releasing decisions on all coding actions on a quarterly basis.

Drug & Biologicals Final Quarterly Coding Decisions

2024
2023
2022

Non-Drug & Non-Biological Items and Services Biannual Coding Decisions

2024 Decisions

Final
Preliminary

2023 Decisions

Final
Preliminary

2022 Decisions

Final
Preliminary

 

To view older coding determinations, visit HCPCS Level II Archive.

 

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.