Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R14 - 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:

Updated prices for Prialt (Ziconotide) and Ropivacaine per quarterly ASP Drug File update:

Effective 10/01/2023 - 12/31/2023

Prialt (Ziconotide) = $9.036

Ropivacaine = $0.068

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.

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