Reimbursement intelligence
HCPCS Update Tracker every quarter, every J-code
CLV Intelligence is an HCPCS update tracker that follows the quarterly HCPCS Level II changes — new, deleted, and revised codes, including drug J-codes — and the coverage and pricing that move with them.
- 1,150+
- Policy alerts tracked
- 33
- Clinical specialties
- 7
- MAC contractors
- 15+
- Source families
Unlike ICD-10’s annual cycle, HCPCS Level II changes every quarter — and for drug and biological J-codes, those updates carry pricing changes (ASP) and coverage shifts that directly move reimbursement. A new J-code that replaces a not-otherwise-classified code, or a deleted DMEPOS code, ripples straight into your claims. CLV Intelligence is an HCPCS update tracker that follows the quarterly releases and surfaces the new, deleted, and revised codes — and the coverage and pricing attached to them — for the codes you bill.
Coverage
What CLV monitors across CMS
Quarterly HCPCS releases
The January, April, July, and October HCPCS Level II updates, broken down by what changed.
New & deleted codes
Additions you can adopt and deletions you must retire — including NOC-to-specific-code transitions.
Drug & biological J-codes
New and revised J-codes, the most reimbursement-sensitive part of HCPCS, including replacements for not-otherwise-classified codes.
ASP pricing changes
Average Sales Price updates that change what a drug code pays, quarter over quarter.
DMEPOS updates
Durable medical equipment, prosthetics, orthotics, and supplies code and coverage changes.
Coverage tied to HCPCS
The LCDs and NCDs that reference specific HCPCS codes, so coverage impact travels with the code change.
How it works
From source to action, every day
We monitor the sources
CMS, every Medicare Administrative Contractor, and the Federal Register — scanned continuously, with the originating government document linked on every alert.
AI translates the impact
Dense regulatory text is distilled into the specialties, codes, and dollar exposure that actually affect your claims, then ranked by a signal score.
You act before it bills
Severity-ranked alerts with plain-language action guidance — plus audit-ready exports — reach the right team in time to change the claim.
Why automated monitoring
Why it beats manual source-watching
Four cutovers a year, not one
HCPCS changes quarterly, so the window to catch a code or pricing change is shorter and recurs four times annually. Daily monitoring keeps you ahead of each release.
J-codes carry dollars
Drug J-code changes come with ASP pricing — a code change can shift reimbursement materially, which is why drug-billing teams can’t treat HCPCS as static.
Code change plus coverage
A new HCPCS code is only half the story; the LCD/NCD that covers it is the other half. Alerts pair the two.
Who it’s for
- Revenue cycle leaders protecting net collections
- Coding professionals keeping pace with code and coverage changes
- Compliance officers building audit-ready documentation
- Healthcare finance executives quantifying reimbursement risk
- Reimbursement analysts replacing manual source-watching
- Specialty practice and billing-company leaders
Get CMS & MAC policy alerts by email — free
A weekly digest of the signal-scored changes that affect what you bill. No subscription required.
Frequently asked questions
How often does HCPCS Level II update?
HCPCS Level II is updated quarterly — in January, April, July, and October — with drug and biological codes in particular changing frequently. That’s a faster cadence than ICD-10-CM’s annual cycle, which is why HCPCS needs continuous tracking.
What is a J-code and why does it matter?
J-codes are the HCPCS Level II codes for drugs and biologicals administered by a provider. They’re among the most reimbursement-sensitive codes because they carry Average Sales Price (ASP) pricing — so a quarterly J-code addition, deletion, or price change directly affects what you’re paid.
What HCPCS changes does CLV Intelligence track?
New, deleted, and revised HCPCS Level II codes (including J-codes and DMEPOS), ASP drug-pricing changes, and the LCD and NCD coverage policies that reference specific HCPCS codes — each mapped to the specialties and codes you bill.
Can I watch specific HCPCS codes?
Yes. Look up any HCPCS code and add it to a watchlist; when a quarterly update, pricing change, or coverage policy affects it, you get an alert tied to that code.
Is CLV Intelligence a substitute for compliance or legal advice?
No. CLV Intelligence surfaces, summarizes, and signal-scores official policy changes so your team can act in time, but it is not legal, billing, or compliance advice and it is not an audit certification. Every alert links to the originating government source so you can review the exact language, and final interpretation should be confirmed with qualified compliance counsel.
Explore the platform
ICD-10 alerts
Annual and mid-year ICD-10-CM changes
ICD-10, HCPCS & CPT lookup
Per-code coverage alerts and context
CMS monitoring software
Track every CMS transmittal, NCD, and rule
Specialty reimbursement alerts
CMS & MAC alerts mapped to your specialty
Coding compliance software
NCCI, OIG, and audit-ready records
Stop finding out after the claim denies.
See the live feed of CMS and MAC policy changes, or talk to us about coverage for your team.