Self-Administered Drug Exclusion List (A53033) - R39 - Effective June 4, 2015

Date Posted: September 12, 2024

This coverage article has been revised and published for notice under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: June 4, 2015

Summary of Changes:

Revision Effective Date: 06/04/2015

EXCLUDED CPT/HCPCS CODES:

Added: J3590 Secukinumab (Cosentyx) subcutaneous use*

09/12/2024: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Visit the Self-Administered Drugs (SADs) webpage to view the Self-Administered Drug Exclusion List.

To view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD, visit the Billing and Coding Articles webpage.

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