2024 Part A MAC Update

ADD Effective 10/1/2023

Major Category I. C. - Magnetic Resonance Imaging (MRI)

• C9791 MRI HYPERPOLARIZED XENON129

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

• J0889 DAPRODUSTAT ORAL 1MG ESRD

Major Category III. A. -Chemotherapy

• J9051 INJ, BORTEZOMIB (MAIA)
• J9064 INJ, CABAZITAXEL (SANDOZ)

Major Category III.D.-Customized Prosthetic Devices

• L5991 ADDITION TO LOWER EXTREMITY PROSTHESES, OSSEOINTEGRATED EXTERNAL PROSTHETIC CONNECTOR

Major Category III. E. - Certain blood clotting factors

• J7214 ALTUVIIIO PER FACTOR VIII IU

ADD Effective 9/11/2023

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

• 91318 DESCRIBING THE XXXX COVID-19 VACCINE, BIVALENT/MONOVALENT
• 91319 DESCRIBING THE XXXX COVID-19 VACCINE, BIVALENT/MONOVALENT
• 91320 DESCRIBING THE XXXX COVID-19 VACCINE, BIVALENT/MONOVALENT
• 91321 DESCRIBING THE XXXX COVID-19 VACCINE, BIVALENT/MONOVALENT
• 91322 DESCRIBING THE XXXX COVID-19 VACCINE, BIVALENT/MONOVALENT

TERMINATE Effective 9/12/2023

• 91312 SARSCOV2 VAC BVL 30MCG/0.3ML
• 91313 SARSCOV2 VAC BVL 50MCG/0.5ML

ADD Effective 9/11/2023

Major Category IV. C. - Vaccine Administration.

• 90480 DESCRIBING THE SERVICE TO ADMINISTER THE XXXX COVID-19 VACCINE, BIVALENT/MONOVALENT

ADD Effective 3/1/2020

Major Category V - Major Category V. A. - Therapies - INCLUSION

• 98966
• 98967
• 98968

– PHONE ASSESSMENT/MANAGEMENT SERVICES

ADD Effective 1/1/2021

• 98970
• 98971
• 98972

-E-VISIT CODES

• G2250 REMOTE EVALUATION OF VIDEO/IMAGE AND
• G2251 VIRTUAL CHECK-IN SERVICE