News

MYLOTARG™

Posted on 3.11.2018

Effective for dates of service on or after January 1, 2018, the Centers for Medicare and Medicaid Services (CMS) has granted MYLOTARG™ (gemtuzumab ozogamicin) injection for IV infusion the following permanent Healthcare Common Procedure Coding System (HCPCS) J-Code*:

 J9203 – Read More

Permanent J code for BENDEKA (bendamustine HCI) Injection

Posted on 12.5.2016

On November 1st 2016, the Center for Medicare and Medicaid Services (CMS) published the 2017 HCPCS Code set, which included a permanent, UNIQUE J code for BENDEKA® (bendamustine HCI) Injection.

Effective January 1, 2017, the Permanent J code for Read More

CMS Finalizes Hospital Outpatient Prospective Payment System Changes to Better Support Hospitals and Physicians and Improve Patient Care

Posted on 11.4.2016

Nov 1, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for calendar year (CY) 2017.… Read More

CMS Now Requires JW Modifier for Discarded Drug

Posted on 5.27.2016

The Centers for Medicare & Medicaid Services (CMS) released Transmittal 3508 that now requires the use of the JW modifier to report discarded drugs and biologicals from single use vials or single use packages. Previously, CMS Medicare Administrative Contractors (MACs)

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300+ National & State Organizations Ask Congress: Stop the CMS Drug Payment Proposal!

Posted on 3.18.2016
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New HCPCS Code for BLINCYTO® (blinatumomab)

Posted on 3.4.2016

We are sending this communication on behalf of Amgen Inc. to inform you of the assignment of a HCPCS code for BLINCYTO® (blinatumomab) for injection for intravenous use. The Centers for Medicare & Medicaid Services (CMS) assigned a HCPCS … Read More

CMS Part B Biosimilar Biological Product Payment and Required Modifiers

Posted on 1.26.2016

The table below lists the current biosimilar HCPCS Codes, the product(s) that are associated with each code and the corresponding required modifier that is used to identify the product. The table will be updated quarterly when new permanent HCPCS codes Read More

CMS Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2015 Update

Posted on 7.6.2015

As you are aware CMS releases quarterly code changes through the Medicare Learning Network/MLN Matters publications.

Attached are the upcoming changes that will be in the July 1st update.

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