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

HCPCS codes for two drugs recently approved by the FDA

In Transmittal 514, the Centers for Medicare and Medicaid Services (CMS) provided instruction for the billing of two drugs recently approved by the Federal Drug Administration (FDA) on December 17, 2004 and January 7, 2005. The product specific HCPCS codes assigned by CMS are as follows: HCPCSSIAPCShort DescriptorLong DescriptorPayment RateMinimum Unadjusted CopaymentEffective DateC9127 K 9127 Paclitaxel protein pr Injection, Paclitaxel Protein Bound Particles, per 1 mg $8.44 $1.69 01/07/05 C9128 K 9128 Inj pegaptamib sodium Injection, Pegaptamib Sodium, per 0.3 mg $1,054.70 $210.94 12/17/04 Facilities billing for these drugs on or after the...

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