Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R24 - Effective January 1, 2026

Date Posted: January 8, 2026

This Billing and Coding article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: January 1, 2026

Summary of Article Changes: Updated pricing for Prialt (Ziconotide) and Ropivacaine per quarterly ASP Drug File Update:

Effective 01/01/2026 - 03/31/2026

Prialt (Ziconotide) = $10.565

Ropivacaine = $0.050

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