Self-Administered Drug Exclusion List (A53032) - R46 - Effective September 16, 2013

Date Posted: June 4, 2026

This billing and coding article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).

Effective Date: September 16, 2013

Summary of Changes:

Under Excluded CPT/HCPCS Codes, added J3110 Injection, Teriparatide, 10 MCG, back to the SAD listing as it was removed in error with the previous revision.

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

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

Last Updated Jun 04 , 2026