Article Detail - JE Part B
Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55239) - R5 - Effective January 1, 2021
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, 2021
Summary of Article Changes: Updated prices for Prialt (Ziconotide) and Ropivacaine per quarterly ASP Drug File Update:
- Effective for 1/1/2021 - 3/31/2021
- Prialt (Ziconotide) = $8.480
- Ropivacaine = $0.066
- Effective for 4/1/2021 - 6/30/2021
- Prialt (Ziconotide) = $8.395
- Ropivacaine = $0.083
- Effective for 7/1/2021 - 9/30/2021
- Prialt (Ziconotide) = $8.658
- Ropivacaine = $0.076
Visit the Noridian website to view the full LCA or through the CMS MCD.
Last Updated Fri, 24 Sep 2021 13:03:28 +0000