2023 Part A MAC Update

Major Category II. A. - Dialysis, EPO, Aranesp, Other Related Services for ESRD

ADD

• E1629 TABLO FOR DIALYSIS SERVICE Effective 1/01/2022
• J0879 DIFELIKEFALIN, ESRD ON DIALY Effective 4/01/2022

Major Category III. A. - Chemotherapy

ADD

• C9142 INJ, ALYMSYS, 10 MG Effective 10/01/2022
• J9272 INJ, DOSTARLIMAB-GXLY, 10 MG Effective 1/01/2022
• J9273 INJTISOTU VEDOTIN-TFTV, 1MG Effective 4/01/2022
• J9274 INJ, TEBENTAFUSP-TEBN, 1 MCG Effective 10/01/2022
• J9298 INJ NIVOL RELATLIMAB 3MG/1MG Effective 10/01/2022
• J9331 INJ SIROLIMUS PROT PART 1 MG Effective 7/01/2022
• J9332 INJ EFGARTIGIMOD 2MG Effective 7/01/2022
• J9359 INJ LON TESIRIN-LPYL 0.075MG Effective 4/01/2022
• Q2042 TISAGENLECLEUCEL CAR-POS T Effective 1/1/2019
• Q2056 CILTACABTAGENE CAR-POS T Effective 10/01/2022
• Q5119 INJ RUXIENCE, 10 MG Effective 7/1/2020

Major Category III. C. -Radioisotopes and their Administration

ADD

• A9595 PIFLU F-18, DIA 1 MILLICURIE Effective 1/01/2022
• A9596 GALLIUM ILLUCCIX 1 MILLICURE Effective 7/01/2022
• A9601 FLORTAUCIPIR INJ 1 MILLICURI Effective 7/01/2022
• A9602 FLUORODOPA F-18 DIAG PER MCI Effective 10/01/2022
• A9607 LUTETIUM LU 177 VIPIVOTIDE Effective 10/01/2022
• A9800 GALLIUM LOCAMETZ 1 MILLICURI Effective 10/01/2022

Major Category IV. A. - Mammography Screening

ADD

• 77067 SCR MAMMO BI INCL CAD Effective 1/1/2018

DELETE

• 77052 SCREEN MAMMO Terminated 1/1/2017
• 77057 SCREENING MAMMO, BI Terminated 1/1/2017
• G0202 SCREENING MAMMOGRAPHY, PRODUCING DIRECT DIGITAL IMAGE, BILATERAL, ALL VIEWS Terminated 12/31/2017

Major Category IV. B. - Vaccines (Pneumococcal, Flu, Hepatitis B, or Covid-19)

ADD

• 91311 SARSCOV2 VAC 25MCG/0.25ML IM Effective 06/17/2022
• 91312 SARSCOV2 VAC BVL 30MCG/0.3ML Effective 8/31/2022
• 91313 SARSCOV2 VAC BVL 50MCG/0.5ML Effective 8/31/2022
• 91314 SARSCOV2 VAC BVL 25MCG/.25ML Effective 10/12/2022
• 91315 SARSCOV2 VAC BVL 10MCG/0.2ML Effective 10/12/2022
• 0091A ADM SARSCOV2 50 MCG/.5 ML1ST Effective 06/17/2022
• 0092A ADM SARSCOV2 50 MCG/.5 ML2ND Effective 06/17/2022
• 0093A ADM SARSCOV2 50 MCG/.5 ML3RD Effective 06/17/2022
• 0111A ADM SARSCOV2 25MCG/0.25ML1ST Effective 06/17/2022
• 0112A ADM SARSCOV2 25MCG/0.25ML2ND Effective 06/17/2022
• 0113A ADM SARSCOV2 25MCG/0.25ML3RD Effective 06/17/2022
• 0124A ADM SARSCV2 BVL 30MCG/.3ML B Effective 8/31/2022
• 0134A ADM SARSCV2 BVL 50MCG/.5ML B Effective 8/31/2022
• 0144A ADM SRSCV2 BVL 25MCG/.25ML B Effective 10/12/2022
• 0154A ADM SARSCV2 BVL 10MCG/.2ML B Effective 10/12/2022