Billing and Coding: Billing Limitations for Pharmacies (A56119) - R5 - Effective October 1, 2023

This coverage article has been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: October 1, 2023

Summary of Article Changes:

Per Quarterly CPT/HCPCS updates:

The following code was added to the Group 1 Codes: J7214

The Article Text was updated to add J7214 under the Specialty A5 - Pharmacy Hemophilia Clotting Factors section.

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