HCPCS Code	Short Description	Long Description	Action	Coverage	"Effective
Date"	Comments	
K0008	Cstm manual wheelchair/base	Custom Manual Wheelchair Base	Reinstate	D	07/01/2013	Pub.100-04 Ch. 20 S. 30.3	
K0013	Custom power whlchr base	Custom Motorized/Power Wheelchair Base	Reinstate	D	07/01/2013	Pub.100-04 Ch. 20 S. 30.3	
K0900	Cstm dme other than wheelchr	"Customized Durable Medical Equipment, Other Than Wheelchair"	Add	D	07/01/2013	Pub.100-04 Ch. 20 S. 30.3	
Q2033	"Influenza Vaccine, (Flublok)"	"Influenza Vaccine, Recombinant Hemagglutinin Antigens, For Intramuscular Use (Flublok)  "	Add	D	07/01/2013	mcm2049.4	
JE	Administered via dialysate	Administered Via Dialysate	Add		07/01/2013		
Q2051	Zoldedronic acid 1mg	"Injection, Zoledronic Acid, Not Otherwise Specified, 1mg"	Add	C	07/01/2013		
J3487		"Injection, Zoledronic Acid (Zometa), 1mg"	Revise	I	07/01/2013		
J3488		"Injection, Zoledronic Acid (Reclast), 1mg"	Revise	I 	07/01/2013		
Q0090	Skyla 13.5mg	"Levonorgestrel-Releasing Intrauterine Contraceptive System (SKYLA), 13.5 mg"	Add	S	07/01/2013	1862a1	
Q0509	Mis sup/ac imp VAD nopay med	Miscellaneous Supply Or Accessory For Use With Any Implanted Ventricular Assist Device For Which Payment Was Not Made Under Medicare part A   	Revise	D	04/01/2013		
Q5001	Hospice or home hlth in home	Hospice Or Home Health Care Provided In Patient's Home/Residence	Revise	D	07/01/2013	Processing note 0133	
Q5002	Hospice/home hlth in asst lvg	Hospice Or home Health Care Provided In Assisted Living  Facility	Revise	D	07/01/2013	Processing note 0133	
Q5009	"Hospice/home hlth, place NOS"	Hospice Or Home Health Care Provided In Place Not Otherwise Specified (NOS)	Revise 	D	07/01/2013	Processing note 0133	
J9002		"Injection, Doxorubicin Hydrochloride, Liposomal, Doxil, 10mg"	Revise	I	07/01/2013		
Q2050	Doxorubicin inj 10mg	"Injection, Doxorubicin Hydrochloride, Liposomal, Not Otherwise Specified, 10mg"	Add	D	07/01/2013	mcm2049