Article Detail - JE Part A

Related CR Release Date: June 9, 2025 
MLN Matters Number: MM14089
Effective Date: July 1, 2025 
Related Change Request (CR) Number: CR 14089
Implementation Date: July 7, 2025 
Related CR Transmittal Number: R13241CP

CR 14089 tells you about:

• Adding and removing certain renal dialysis items and services
• Updating the average unit cost for renal dialysis drugs that are oral equivalents to injectable drugs
• Revising the average dispensing fee of the National Drug Codes (NDCs) qualifying for outlier payment to $0.56 per NDC per month

Make your billing staff aware of changes to the outlier services list under the ESRD Prospective Payment System (PPS) starting July 1, 2025.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14089.