HCPCS Level II Archive

CMS has published its HCPCS Application Summaries and Coding Decisions for Quarter 1 (Q1) 2024 Drugs and Biologicals [add link], which includes the Q1 2024 HCPCS Level II applications for drug and biological coding requests. For each application, you can find:

A statement of the topic/issue
A summary of the applicant’s request
Our coding decision

In the coming weeks, CMS will publish the July 2024 HCPCS Update file. Monitor this webpage for the announcement, or visit HCPCS Quarterly Update to find the file once it's posted.

PUBLICATION OF CODING DECISIONS AND MEDICARE BENEFIT CATEGORY & PAYMENT DETERMINATIONS FOR B2 2023 HCPCS LEVEL II NON-DRUG AND NON-BIOLOGICAL ITEMS AND SERVICES APPLICATIONS - 02/29/2024

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries, Coding Decisions and Benefit Category & Payment Determinations for the second bi-annual (B2) 2023 Non-Drug and Non-Biological Items and Services at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the B2 2023 HCPCS Level II applications for non-drug and non-biological items and services coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request;
CMS’ preliminary coding recommendation;
CMS’ preliminary Medicare benefit category determination;
CMS’ preliminary Medicare payment determination;
Summary of public feedback;
CMS’ final HCPCS coding decision;
Final Medicare benefit category determination; and
Final Medicare payment determination.

Please continue to monitor this web site for CMS’ April 2024 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS FOR Q4 2023 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS - 01/26/2024

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter four (Q4) 2023 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q4 2023 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ April 2024 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

B2 2023 HCPCS LEVEL II PUBLIC MEETING ZOOM LOG IN INFORMATION - 11/21/2023

All attendees can access the virtual public meeting through the Zoom link provided below as the speaker registration is now closed. Attendees can attend more than one day of the public meeting:
https://cms.zoomgov.com/webinar/register/WN_spNk4pWiR2Wb2SZ-TMarxQ. Passcode: 523861

Dial: 833 568 8864 US Toll Free

Webinar ID: 161 206 9418

Passcode: 523861

B2 2023 HCPCS LEVEL II PUBLIC MEETING MATERIALS - 11/03/2023

CMS is announcing the publication of its Second Biannual (B2) 2023 HCPCS Public Meeting Agendas for its November 28 - 30, 2023, Virtual HCPCS Public Meeting. The agendas are available on the HCPCS Public Meetings page.

CMS recommends interested parties refer to the Guidelines for Participation in HCPCS Public Meetings for B2 2023, which are available on the HCPCS Public Meetings page.

The guidelines contain important and useful information, such as instructions for registering to attend the B2 2023 HCPCS Public Meeting as a primary or a 5-minute speaker; instructions for accessing the meeting as an attendee; deadlines for registration and materials submission; and tips for helping CMS conduct a productive meeting.

The deadline to register as a speaker is Tuesday, November 14, 2023, at 5:00 p.m., eastern time (ET). All speakers must register online, identify as a primary speaker or a 5-minute speaker, and provide the requested contact information at: https://cms.zoomgov.com/webinar/register/WN_spNk4pWiR2Wb2SZ-TMarxQ. Primary speakers are permitted to submit written presentation materials, which are also due no later than Tuesday, November 14, 2023, at 5:00 p.m., ET.

PUBLICATION OF CODING DECISIONS FOR Q3 2023 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS - 10/17/2023

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter three (Q3) 2023 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q3 2023 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ January 2024 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS AND MEDICARE BENEFIT CATEGORY & PAYMENT DETERMINATIONS FOR B1 2023 HCPCS LEVEL II NON-DRUG AND NON-BIOLOGICAL ITEMS AND SERVICES APPLICATIONS - 08/21/2023

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries, Coding Decisions and Benefit Category & Payment Determinations for the first bi-annual (B1) 2023 Non-Drug and Non-Biological Items and Services at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the B1 2023 HCPCS Level II applications for non-drug and non-biological items and services coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request;
CMS’ preliminary coding recommendation;
CMS’ preliminary Medicare benefit category determination;
CMS’ preliminary Medicare payment determination;
Summary of public feedback;
CMS’ final HCPCS coding decision;
Final Medicare benefit category determination; and
Final Medicare payment determination.

Please continue to monitor this web site for CMS’ October 2023 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

HCPCS PUBLIC MEETING MATERIALS - 05/01/2023

CMS is announcing the publication of its First Biannual (B1) 2023 HCPCS Public Meeting Agendas for its May 30 - June 1, 2023, Virtual HCPCS Public Meeting. The agendas are available at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.

CMS recommends interested parties refer to the Guidelines for Participation in HCPCS Public Meetings for B1 2023, which are available at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.

The guidelines contain important and useful information, such as instructions for registering to attend the B1 2023 HCPCS Public Meeting; instructions for registering as a primary speaker or a 5-minute speaker; deadlines for registration and materials submission; and tips for helping CMS conduct a productive meeting.

The deadline to register as a speaker is Tuesday, May 16, 2023, at 5:00 p.m., eastern time (ET). All speakers must register online, identify as a primary speaker or a 5-minute speaker, and provide the requested contact information at: https://cms.zoomgov.com/webinar/register/WN_r_Xpc62cSt-p9CdWjBYhhA. Primary speakers are permitted to submit written presentation materials, which are also due no later than Tuesday, May 16, 2023, at 5:00 p.m., ET.

PUBLICATION OF CODING DECISIONS FOR Q2 2023 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter two (Q2) 2023 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q2 2023 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ October 2023 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS FOR Q1 2023 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter one (Q1) 2023 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q1 2023 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ July 2023 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS AND MEDICARE BENEFIT CATEGORY & PAYMENT DETERMINATIONS FOR B2 2022 HCPCS LEVEL II NON-DRUG AND NON-BIOLOGICAL ITEMS AND SERVICES APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries, Coding Decisions and Benefit Category & Payment Determinations for the second bi-annual (B2) 2022 Non-Drug and Non-Biological Items and Services at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the B2 2022 HCPCS Level II applications for non-drug and non-biological items and services coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request;
CMS’ preliminary coding recommendation;
CMS’ preliminary Medicare benefit category determination;
CMS’ preliminary Medicare payment determination;
Summary of public feedback;
CMS’ final HCPCS coding decision;
Final Medicare benefit category determination; and
Final Medicare payment determination.

Please continue to monitor this web site for CMS’ April 2023 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

HCPCS PUBLIC MEETING MATERIALS

CMS is announcing the publication of its Second Biannual (B2) 2022 HCPCS Public Meeting Agendas for its November 29 – December 1, 2022, Virtual HCPCS Public Meeting. The agendas are available at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings

CMS recommends interested parties refer to the Guidelines for Participation in HCPCS Public Meetings for November 2022, which are available at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.

The guidelines contain important and useful information, such as instructions for registering to attend the B2 2022 HCPCS Public Meeting; instructions for registering as a primary speaker or a 5-minute speaker; deadlines for registration and materials submission; and tips for helping CMS conduct a productive meeting.

The deadline to register as a speaker is Tuesday, November 22, 2022, at 5:00 p.m., eastern time (ET). All speakers must register online, identify as a primary speaker or a 5-minute speaker, and provide the requested contact information at: https://cms.zoomgov.com/webinar/register/WN_v9r9lfW_QZimHUNq__AXrg. Primary speakers are permitted to submit written presentation materials, which are also due no later than Tuesday, November 22, 2022, at 5:00 p.m., ET.

HCPCS PUBLIC MEETING MATERIALS

CMS is announcing the publication of its First Biannual (B1) 2022 HCPCS Public Meeting Agendas for its June 7-10 2022, Virtual HCPCS Public Meeting. The agendas are available at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings

CMS recommends interested parties refer to the Guidelines for Participation in HCPCS Public Meetings for June 2022, which are available at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/HCPCSPublicMeetings.

The guidelines contain important and useful information, such as instructions for registering to attend the B1 2022 HCPCS Public Meeting; instructions for registering as a primary speaker or a 5-minute speaker; deadlines for registration and materials submission; and tips for helping CMS conduct a productive meeting.

The deadline to register as a speaker is Tuesday, May 24, 2022, at 5:00 p.m., eastern daylight time (e.d.t.). All speakers must register online, identify as a primary speaker or a 5-minute speaker, and provide the requested contact information at: https://cms.zoomgov.com/meeting/register/vJIsd-mgpz4jEvObPtTKB0-BGiFBQ80CuHQ. Primary speakers are permitted to submit written presentation materials, which are also due no later than Tuesday, May 24, 2022, at 5:00 p.m., e.d.t.

Additionally, CMS notes that the B1 2022 HCPCS Public Meeting on June 7-10 will include preliminary benefit category and payment determinations for codes effective January 1, 2020 to April 1, 2022, continuous glucose monitoring coding and payment determinations, and additional items added by CMS to address Medicare benefit category or payment determinations.

PUBLICATION OF CODING DECISIONS FOR Q4 2022 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter four (Q4) 2022 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q4 2022 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ April 2023 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS AND MEDICARE BENEFIT CATEGORY & PAYMENT DETERMINATIONS FOR B1 2022 HCPCS LEVEL II NON-DRUG AND NON-BIOLOGICAL ITEMS AND SERVICES APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries, Coding Decisions and Benefit Category & Payment Determinations for the first bi-annual (B1) 2022 Non-Drug and Non-Biological Items and Services at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the B1 2022 HCPCS Level II applications for non-drug and non-biological items and services coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request;
CMS’ preliminary coding recommendation;
CMS’ preliminary Medicare benefit category determination;
CMS’ preliminary Medicare payment determination;
Summary of public feedback;
CMS’ final HCPCS coding decision;
Final Medicare benefit category determination; and
Final Medicare payment determination.

Please continue to monitor this web site for CMS’ October 2022 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS FOR Q3 2022 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter three (Q3) 2022 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q3 2022 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ January 2023 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CODING DECISIONS FOR Q2 2022 HCPCS LEVEL II DRUG and BIOLOGICAL APPLICATIONS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter two (Q2) 2022 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes the Q2 2022 HCPCS Level II applications for drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ October 2022 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

PUBLICATION OF CMS HCPCS LEVEL II CODE DECISIONS FOR Q1 2022 APPLICATION CYCLE FOR DRUG AND BIOLOGICALS

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce publication of its Healthcare Common Procedure Coding System (HCPCS) Application Summaries and Coding Decisions for quarter one (Q1) 2022 Drugs and Biologicals at: https://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Prior-Years-CMS-HCPCS-LevelII-Coding-Decisions-Narrative-Summary.

This narrative summary document includes a sequential listing of Q1 2022 applications for HCPCS Level II drug and biological coding requests. For each application, the following information is provided:

a statement of the topic/issue;
a summary of the applicant’s request; and
CMS’ coding decision.

Please continue to monitor this web site for CMS’ July 2022 HCPCS Update file, which will be published separately in the coming weeks, at: https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/HCPCS-Quarterly-Update.

ANNOUNCEMENT OF UPCOMING CODING CYCLE DEADLINES (2022 Q3 Q4 B2)

CMS is announcing that the HCPCS Level II application submission deadline for the third quarterly (Q3) and second biannual (B2) 2022 coding cycles is July 5, 2022, and the submission deadline for the fourth quarterly (Q4) 2022 coding cycle is October 3, 2022.

The electronic application intake system, Medicare Electronic Application Request Information System (MEARIS^TM, is available for HCPCS Level II application submission. The CMS HCPCS Level II Modification to Code Set Form can be accessed at: https://mearis.cms.gov/public/home.

CMS will only accept HCPCS Level II applications submitted via MEARIS^TM.

ANNOUNCEMENT OF UPCOMING CODING CYCLE DEADLINES (2022 Q1 Q2 B1)

CMS is announcing that the HCPCS Level II application submission deadline for the first quarterly (Q1) and first biannual (B1) 2022 coding cycles is January 4, 2022, and the submission deadline for the second quarterly (Q2) 2022 coding cycle is April 1, 2022.

Please refer to the public notification of the new HCPCS Level II application submission process on this web page for further information regarding application submission for the upcoming coding cycles.

HCPCS Level II Archive

Coding Decisions

Drug & Biologicals Final Coding Decisions

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

2020 Decisions

2019 Decisions

2018 Decisions

2017 Decisions

2016 Decisions

2015 Decisions

2014 Decisions

2013 Decisions

2012 Decisions

2011 Decisions

2010 Decisions

Prior Web Announcements

2024

2023

2022