2024 Part B MAC Update

Part B SNF CB – 2024 October Updates

The annual update includes the following retroactive updates:

Code

Short Descriptor

Effective Date

Action Needed

ADDITIONS

J9075Inj, cyclophosphamide, nos04/01/2024Add to File #1
J9248 

Inj melphalan (hepzato) 1 mg

04/01/2024Add to File #1
J9249

Inj, melphalan (apotex) 1 mg

04/01/2024Add to File #1
J9376

Inj pozelimab-bbfg, 1 mg

04/01/2024Add to File #1
L5783     

Add low ext mec limb vol sys

04/01/2024Add to file #1
L5841     

Addition endoskletl knee-shi

04/01/2024Add to File #1
J7165   

 Inj, human-lans, per i.u

04/01/2024Add to File #1

DELETIONS

J9070   

Cyclophosphamide 100 mg inj

04/01/2024Remove from file #1

 

Part B SNF CB – 2024 August Updates

This off quarter update is included in SNF CB 2023-2024 revised Updates Summary (ZIP) due to the number of codes being added and deleted.  

Part B SNF CB – 2024 July Updates

The quarterly update includes the following retroactive updates:

CodeShort DescriptorEffective DateAction Needed

ADDITIONS

M0010Enhancing Oncology Model (EOM) Monthly Enhanced Oncology Services (MEOS) payment for EOM enhanced services07/01/2023Add to File #1

Part B SNF CB – 2024 January-April Updates

The update includes the following retroactive updates:

CodeShort DescriptorEffective DateAction Needed

ADDITIONS

A9608Flotufolastat f18 diag 1 mci01/01/2024Add to File #1
A9609F18 fdg, 15 millicuries01/01/2024Add to File #1
C7557Cor angio/vent w/ffr01/01/2024Add to File #1
C7558Cor angio/vent w/drug admin01/01/2024Add to File #1
J1412Inj roctavian ml 2x10^13vc g01/01/2024Add to File #1
J9072Inj cyclophos dr.reddy's 5mg01/01/2024Add to File #1
J9172Docetaxel (ingenus), 1 mg01/01/2024Add to File #1
J9255Inj, methotrexate (accord)01/01/2024Add to File #1
J9258Paclitaxel (teva)01/01/2024Add to File #1
J9324Inj, pemrydi rtu, 10 mg01/01/2024Add to File #1
L3161Foot, adductus position, adj01/01/2024Add to File #1
L5615Ak 4 bar link hydl swg/stanc01/01/2024Add to File #1
L5926Endoskel posit rotat unit01/01/2024Add to File #1
97550CAREGIVER TRAING 1ST 30 MIN01/01/2024Add to File #4
97551CAREGIVER TRAING EA ADDL 1501/01/2024Add to file #4
97552GROUP CAREGIVER TRAINING   01/01/2024Add to file #4

 

Code

Short Descriptor

Effective Date

Action Needed

DELETIONS

J9160Denileukin diftitox inj01/01/2024Remove from file#1

Part B SNF CB – 2024 January Updates

The annual update includes the following retroactive updates:

Code

Short Descriptor

Effective Date

Action Needed

ADDITIONS

J0889

DAPRODUSTAT ORAL 1MG ESRD

10/1/23

Add to File #1

J7213

INJ, IXINITY, 1 I.U.

07/01/23

Add to file #1

J9029

INJ, ADSTILADRIN, PER TX DOS

07/01/23

Add to File #1

J9056

INJ, BENDAMUSTINE, 1 MG

07/01/23

Add to File #1

J9058

INJ APOTEX/BENDAMUSTINE 1 MG

07/01/23

Add to File #1

J9059

INJ BENDAMUSTINE, BAXTER 1MG

07/01/23

Add to File #1

J9063

INJ, ELAHERE, 1 MG

07/01/23

Add to File #1

J9259

PACLITAXEL (AMERICAN REGENT)

07/01/23

Add to File #1

98966

Hc pro phone call 5-10 min

03/01/20

Add to File #4

98967

Hc pro phone call 11-20 min

03/01/20

Add to File #4

98968

Hc pro phone call 21-30 min

03/01/20

Add to File #4

98970

Qnhp ol dig assmt&mgmt 5-10

01/01/21

Add to File #4

98971

Qnhp ol dig assmt&mgmt 11-20

01/01/21

Add to File #4

98972

Qnhp ol dig assmt&mgmt 21+

01/01/21

Add to File #4

G2250

Remot img sub by pt, non e/m

01/01/21

Add to File #4

G2251

Brief chkin, 5-10, non-e/m

01/01/21

Add to File #4

 

Page Last Modified:
09/16/2024 02:52 PM