Upcoming — these changes take effect October 1, 2026. Codes are not yet active.

2026

HCPCS code changes

Effective October 1, 2026

+84

Added

36

Revised

120

Total

Added (84)

  • A2046

    Dermisphere hdrt, per sq cm

  • A2047

    Lacertamatrix, per sq cm

  • A2048

    Puraply mz, per mg

  • A2049

    Theracor, per sq cm

  • A2050

    Fibrillar collagen, per mg

  • A4228

    Dev-drug combo cath supplies

  • A6614

    Sup ext oculr neg pres pump

  • A9574

    Inj. ferumoxytol, 1 mg

  • A9613

    F 18 pylarify truvu, dx 1mci

  • C1609

    Vert dev motion-preserv

  • C8014

    Cysto, litho, w suct sheath

  • C9310

    Inj, leucovorin cal (avyxa)

  • C9311

    Inj, eplontersen, 1 mg

  • C9312

    Inj trabecte apotex, 0.01 mg

  • C9313

    Inj, pivekimab sunirine pvzy

  • E0788

    Dev-drug combo infusion pump

  • E2403

    Ext oculr neg pres pump

  • G0574

    Mgt new pt dem res care cmmi

  • G0575

    Mgt est pt dem res care cmmi

  • G0577

    Vasc emb/occl organ, pgc

  • G0669

    Eckm oap-initial period

  • G0670

    Eckm oap-follow-on period(s)

  • G0671

    Ckm oap-initial period

  • G0672

    Ckm oap-follow-on period(s)

  • G0673

    Msk oap-initial period

  • G0674

    Bh oap-initial period

  • G0675

    Bh oap-follow-on period(s)

  • G0676

    Std co-mgmt-eckm, ckm

  • G0677

    Std co-mgmt-msk

  • G0678

    Std co-mgmt-bh

  • G0685

    Algorithm assessment for asd

  • J0528

    Inj fosfomycin disodium 20mg

  • J0643

    Inj leucovorin calcium 1 mg

  • J0644

    Inj, leucovorin cal (avyxa)

  • J0871

    Inj, daptomycin (endo) 1mg

  • J1289

    Narsoplimab-wuug, 1 mg

  • J1577

    Inj, qivigy, 100mg

  • J1757

    Inj tivideno alfa-eknm 1

  • J1818

    Inj pegzilarginase-nbln

  • J1946

    Inj, furose lasix onyu, 1 mg

  • J1947

    Inj, furoscix, 1 mg

  • J1957

    Injection levetiracetam 5 mg

  • J1958

    Inj levetirac sodi chlo 5 mg

  • J2361

    Inj depemokimab-ulaa 1 mg

  • J2374

    Apraclonidine hcl opht 0.1ml

  • J2789

    Riboflavin epioxa/hd<=2ml

  • J3268

    Injection, delafloxacin

  • J3386

    Etuvetidigene autotemecel

  • J3405

    Inj onase abepar-brve treat

  • J3406

    Inj omidubicel-onlv, tx dose

  • J7176

    Inj. fesilty, 1 mg

  • J7524

    Mycophenol mofetil oral 5 mg

  • J7526

    Inj mycophenola mofetil 5 mg

  • J7529

    Mycop mofetil susp oral 5 mg

  • J7530

    Mycophenolat (myhibbin) 5 mg

  • J7531

    Pred sod pho ora dis ta 1 mg

  • J9053

    Inj belantamab mafodot blmf

  • J9062

    Inj amivantamab 5mg hyaluron

  • J9066

    Inj bendamustine, avyxa 1mg

  • J9186

    Inj etoposide (avyxa), 1 mg

  • J9187

    Inj, etoposide, 1 mg

  • J9191

    Inj fluorouracil (avyxa)10mg

  • J9192

    Inj, fluorouracil, 10 mg

  • J9232

    Inj docetaxel (hospira) 1 mg

  • J9362

    Inj, trabectedin, 0.01 mg

  • L1330

    Sternocostal orthosis prefab

  • L1972

    Ankl foot ortho, prefab, off

  • L8697

    Ext phrenic stim acc repl ea

  • M0231

    Inf tocilizumab-bavi 1st dos

  • M0232

    Inf tocilizumab-bavi 2nd dos

  • Q0234

    Inj, tocilizumab-bavi, 1mg

  • Q4207

    Carbon life, per sq cm

  • Q4223

    Dermabind sl optic per sq cm

  • Q4243

    Amchomatrix, per sq cm

  • Q5164

    Ustekinumab-hmny, 1 mg

  • Q5165

    Inj, denosumab-mobz, 1 mg

  • Q5166

    Inj, denosumab-desu, 1 mg

  • Q5167

    Inj, denosumab-qbde, 1 mg

  • Q5168

    Inj. nufymco, 0.1 mg

  • Q5169

    Inj, armlupeg, 0.5 mg

  • Q5170

    Inj, aflibercept-boav, 1 mg

  • Q5171

    Inj, den (boncres), bio, 1mg

  • Q5172

    Inj, filkri, 1 mcg

  • Q5173

    Inj, denosumab-adet, 1 mg

Revised (36)

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