Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R19 - Effective January 1, 2025

Date Posted: January 2, 2025

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: January 1, 2025

Summary of Article Changes:

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

Effective 01/01/2025 - 03/31/2025

Prialt (Ziconotide) = $9.778

Ropivacaine = $0.073

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Last Updated Jan 02 , 2025