Heads up: this issue is from February 26, 2025. Because it covers time-sensitive coding and regulatory topics, some details may have changed since. See the latest issues for current guidance.
Here are the ACCEPTED HCPCS drug changes for dates of service on or after April 1, 2025. See the meeting notes here. For all these projected HCPCS DRUG changes, see Buyandbill.com. for an easy-to-read version of this.
Added Codes
HCPCS Long Descriptor
A9611 Flurpiridaz f 18, diagnostic, 1 millicurie
J0281 Injection, aminocaproic acid, 1 gram
J1072 Injection, testosterone cypionate (azmiro), 1 mg
J1271 Injection, doxycycline hyclate, 1 mg
J1299 Injection, eculizumab, 2 mg
J1308 Injection, famotidine, 0.25 mg
J1808 Injection, folic acid, 0.1 mg
J1938 Injection, furosemide, 1 mg
J2351 Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq
J2428 Injection, paliperidone palmitate extended release (erzofri), 1 mg
J2804 Injection, rifampin, 1 mg
J2865 Injection, sulfamethoxazole 5 mg and trimethoprim 1 m
J7521 Tacrolimus, granules, oral suspension, 0.1 mg
J9024 Injection, atezolizumab, 5 mg and hyaluronidase-tqjs
J9038 Injection, axatilimab-csfr, 0.1 mg
J9054 Injection, bortezomib (boruzu), 0.1 mg
J9161 Injection, denileukin diftitox-cxdl, 1 mcg
Q2057. Afamitresgene autoleucel up to 10 x 10^9 MAGEA4 TCR positive T-cells, per therapeutic dose
Q5147 Injection, aflibercept-ayyh (pavblu),biosimilar, 1 mg
Q5148 Injection, filgrastim-txid (nypozi), biosimilar,1 microgram
Q5149 Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg
Q5150 Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg
Q5151 Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg
Q5152 Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg
Q9999 Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg
S4024. Air polymer-type a intrauterine foam, per study dose
Deleted codes
J1094 Injection, dexamethasone acetate, 1 mg
J1300 Injection, eculizumab, 10 mg
J1810 Injection, droperidol, and fentanyl citrate, up to 2 ml ampule
J1890 Injection, cephalothin sodium, up to 1 gram
J1940 Injection, furosemide, up to 20 mg\\
J9037 Injection, belantamab mafodotin-blmf,0.5 mg
J9247 Injection, melphalan flufenamide, 1mg
Q5139 Injection, eculizumab-aeeb (bkemv), biosimilar, 10 mg
S0017 Injection, aminocaproic acid, 5 grams
S0028 Injection, famotidine 20 mg
S0032 Injection, nafcillin sodium, 2 grams
S0039. Injection, sulfamethoxazole and trimethoprim, 10 ml
Descriptor Change
J9073 Injection, cyclophosphamide (dr. reddy's), 5 mg
For a complete list, see the HCPCS Quarterly Update when it is released.
