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: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

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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