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HCPCS 1st-quarter update: New, deleted codes
Act
immediately
Effective date
Apr 1, 2026
Identified
Jun 16, 2026
Summary
Blue Cross Blue Shield of Michigan has implemented its Q1 2026 HCPCS code updates, adding 56 new codes and deleting 6 codes effective April 1, 2026. Most new skin substitute codes (A2040-A2045, Q4418-Q4440) are not covered, while new drug/injection codes (J-codes) and COVID-19 related codes are generally covered.
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What to do
immediately · 4 steps
01Billing team must update coding system with all 56 new HCPCS codes and remove 6 deleted codes (C9145, C9307, C9308, L6000, L6010, L6020) effective April 1, 2026.
02Configure system to flag non-covered codes (most skin substitute A-codes and Q4000-series codes) to prevent claim denials.
03Set C9309 for manual review process.
04Update encounter forms and notify providers that most new skin substitute procedures will not be covered by BCBSM.
Codes mentioned
A2040A2041A2042A2043A2044A2045A4318A4479A6548A8005A8006A9294C1743C8010C9309C9818C9145C9307C9308G0680G0681G0682G0683G0684J0463J1098J1164J1553J3404J8502J9183J9003J9277J9278J9601L2221L5992L6000L6010L6020M0233M0234Q0238Q4418Q4419Q4421Q4422Q4423Q4424Q4425Q4426Q4427Q4428Q4429Q4435Q4436Q4437Q4438Q4439Q4440Q5161Q5162
Original notice
HCPCS 1st-quarter update: New, deleted codes
bcbsm.com · Always check the source before changing claims.
Related changes
See all BCBS Michigan changes →HCPCS replacement codes established, effective April 1, 2026MediumEffective Apr 1, 2026 · CodingWe’re adding requirements for additional medical oncology drugs for most members, starting May 13HighEffective May 13, 2026 · Specialty ServicesCorrection: We’re adding requirements for additional medical oncology drugs for most members, starting May 13HighEffective May 13, 2026 · Specialty ServicesAdditional medical benefit drugs will require prior authorization for Blue Cross commercial URMBT membersMediumEffective Jul 1, 2026 · Prior AuthorizationBrowse every BCBS Michigan change in the policy list
Related policy hubs
BCBS Michigan policiesMI policy changesDermatologyPlastic SurgeryWound CareOncologyOrthopedicsGeneral SurgeryCode A2040Code A2041Code A2042Code A2043Code A2044Code A2045Code A4318Code A4479Code A6548Code A8005Code A8006Code A9294Code C1743Code C8010Code C9309Code C9818Code C9145Code C9307Code C9308Code G0680Code G0681Code G0682Code G0683Code G0684Code J0463Code J1098Code J1164Code J1553Code J3404Code J8502Code J9183Code J9003Code J9277Code J9278Code J9601Code L2221Code L5992Code L6000Code L6010Code L6020Code M0233Code M0234Code Q0238Code Q4418Code Q4419Code Q4421Code Q4422Code Q4423Code Q4424Code Q4425Code Q4426Code Q4427Code Q4428Code Q4429Code Q4435Code Q4436Code Q4437Code Q4438Code Q4439Code Q4440Code Q5161Code Q5162