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Q0245 Injection, bamlanivimab and etesevimab, 2100 mg...
HCPCS Procedure & Supply Codes
Q0245 - Injection, bamlanivimab and etesevimab, 2100 mg
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The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.
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DMEPOS Products (Durable Medical Equipment, Prosthetics, Orthotics, Supplies)
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Medicare COVID-19 Fees
Important: This product is not authorized for administration until further notice by the FDA.
| Labeler | Vaccine Procedure | Payment Allowance | Effective From | Effective To | Footnotes | My Fee |
|---|---|---|---|---|---|---|
| Eli Lilly | Injection, bamlanivimab and etesevimab, 2100 mg | $0.01 | 2021-02-09 | 2022-01-24 | [1][8][9] | (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.
[8] On September 16, 2021, the FDA revised the EUA for bamlanivimab and etesevimab, administered together, to allow its use for post-exposure prophylaxis (PEP) in certain adult and pediatric patients. Providers and suppliers should use Q0245 and M0245 or M0246 to bill for administering bamlanivimab and etesevimab for PEP.
[9] On January 24, 2022, the FDA announced that, due to the high frequency of the Omicron variant, this product isn’t currently authorized in any U.S region and may not be administered for treatment or post-exposure prevention of COVID-19 under the EUA until further notice by the FDA.
Learn more at: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies
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Medicare Policies & Guidelines (Articles, LCDs, NCDs)
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