Medicare COVID-19 Fees
Labeler Vaccine Procedure Payment Allowance Effective From Effective To Footnotes My Fee Eli Lilly Injection, bamlanivimab, 700 mg $0.01
2020-11-10 2021-04-16 [1][4] (your fee)
[1] Since we anticipate that providers, initially, will not incur a cost for the product, CMS will update the payment allowance at a later date. Providers should not bill for the product if they received it for free.
[4] On April 16, 2021, the FDA revoked the EUA that allowed for the investigational monoclonal antibody therapy bamlanivimab, when administered alone, to be used for the treatment of mild-to-moderate COVID-19 in adults and certain pediatric patients. As a result, Medicare won't pay for claims with HCPCS codes M0239 or Q0239 with dates of service after April 16, 2021.
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