AHA Coding Clinic® for HCPCS - 2005 Issue 2; FOR your INFORMATION

Billing and payment for Vinorelbine Tartrate

Inadvertently, Vinorelbine Tartrate was misclassified as a sole source product in the 2005 outpatient prospective payment system (OPPS) final rule. The Centers for Medicare & Medicaid Services (CMS) has since reclassified Vinorelbine Tartrate as a multi-source product. The HCPCS codes and payment amount for both the generic and brand name form of the drug are listed below. HCPCSSIAPCShort DescriptorLong DescriptorPayment RateMinimum Unadjusted CopaymentEffective DateJ9390 K 0855 Vinorelbine tartrate per 10 mg Vinorelbine Tartrate, per 10 mg $52.78 $10.56 01/01/05 C9440 K 9440 Vinorelbine tartrate, brand Vinorelbine Tartrate, brand, per 10 mg $74.84 $14.97 01/01/05 ...

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