Home Infusion Therapy Fees - JE Part B
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Home Infusion Therapy Fees
Section 5012(d) of the 21st Century Cures Act (Pub. L 144-255) amended sections 1861(s)(2) and 1861(iii) of the Social Security Act (the Act), requiring the Secretary to establish a new Medicare home infusion therapy services benefit. The Medicare home infusion therapy services benefit covers the professional services, including nursing services, furnished in accordance with the plan of care, patient training and education (not otherwise covered under the durable medical equipment benefit), remote monitoring, and monitoring services for the provision of home infusion therapy services and home infusion drugs furnished by a qualified home infusion therapy supplier.
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2023 Home Infusion Therapy Fees
CMS released the home infusion therapy fee information effective for dates of service January 1, 2023 through December 31, 2023.
2022 Home Infusion Therapy Fees
| State/Locality/Counties | G0068 | G0069 | G0070 | G0088 | G0089 | G0090 |
|---|---|---|---|---|---|---|
| Hawaii | $171.21 | $231.33 | $287.78 | $208.23 | $281.34 | $350.00 |
| Nevada | $165.20 | $223.22 | $277.69 | $200.92 | $271.47 | $337.72 |
| Northern California Area 05 - San Francisco County |
$188.73 | $255.01 | $317.24 | $229.54 | $310.14 | $385.83 |
| Northern California Area 06 - San Mateo County |
$188.73 | $255.01 | $317.24 | $229.54 | $310.14 | $385.83 |
| Northern California Area 07 - Alameda and Contra Costa Counties |
$188.73 | $255.01 | $317.24 | $229.54 | $310.14 | $385.83 |
| Northern California Area 09 - Santa Clara County |
$193.92 | $262.03 | $325.97 | $235.86 | $318.67 | $396.44 |
| Northern California Area 51 - Napa County |
$178.51 | $241.20 | $300.06 | $217.11 | $293.34 | $364.93 |
| Northern California Area 52 - Marin County |
$189.06 | $255.45 | $317.79 | $229.94 | $310.67 | $386.49 |
| Northern California Area 53 - Solano County |
$178.51 | $241.20 | $300.06 | $217.11 | $293.34 | $364.93 |
| Northern California Area 54 - Kern County |
$168.12 | $227.16 | $282.60 | $204.48 | $276.27 | $343.69 |
| Northern California Area 55 - Butte County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 56 - Fresno County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 57 - Kings County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 58 - Madera County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 59 - Merced County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 60 - Stanislaus County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 61 - Shasta County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 62 - Riverside and San Bernardino Counties |
$168.93 | $228.26 | $283.96 | $205.46 | $277.60 | $345.35 |
| Northern California Area 63 - Placer and Sacramento Counties |
$168.45 | $227.60 | $283.15 | $204.87 | $276.80 | $344.36 |
| Northern California Area 64 - Monterey County |
$174.45 | $235.72 | $293.24 | $212.17 | $286.67 | $356.63 |
| Northern California Area 65 - San Benito County |
$195.22 | $263.78 | $328.15 | $237.44 | $320.80 | $399.10 |
| Northern California Area 66 - Santa Cruz County |
$178.18 | $240.76 | $299.51 | $216.71 | $292.80 | $364.26 |
| Northern California Area 67 - Sonoma County |
$176.07 | $237.91 | $295.97 | $214.15 | $289.34 | $359.95 |
| Northern California Area 68 - San Joaquin County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 69 - Tulare County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 70 - Sutter County |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Northern California Area 75 - All Other Counties |
$166.50 | $224.97 | $279.87 | $202.50 | $273.60 | $340.38 |
| Southern California Area 17 - Ventura County |
$175.59 | $237.25 | $295.15 | $213.55 | $288.54 | $358.95 |
| Southern California Area 18 - Los Angeles County |
$177.21 | $239.44 | $297.88 | $215.53 | $291.20 | $362.27 |
| Southern California Area 26 - Orange County |
$177.21 | $239.44 | $297.88 | $215.53 | $291.20 | $362.27 |
| Southern California Area 71 - Imperial County |
$166.66 | $225.19 | $280.15 | $202.70 | $273.87 | $340.71 |
| Southern California Area 72 - San Diego County |
$174.29 | $235.50 | $292.97 | $211.98 | $286.40 | $356.30 |
| Southern California Area 73 - San Luis Obispo County |
$168.12 | $227.16 | $282.60 | $204.48 | $276.27 | $343.69 |
| Southern California Area 74 - Santa Barbara County |
$175.59 | $237.25 | $295.15 | $213.55 | $288.54 | $358.95 |
2021 Home Infusion Therapy Fees
| State/Locality/Counties | G0068 | G0069 | G0070 | G0088 | G0089 | G0090 |
|---|---|---|---|---|---|---|
| Hawaii | $168.99 | $228.33 | $284.06 | $205.52 | $277.69 | $345.47 |
| Nevada | $163.06 | $220.33 | $274.10 | $198.32 | $267.95 | $333.35 |
| Northern California Area 05 - San Francisco County |
$186.29 | $251.71 | $313.14 | $226.56 | $306.11 | $380.84 |
| Northern California Area 06 - San Mateo County |
$186.29 | $251.71 | $313.14 | $226.56 | $306.11 | $380.84 |
| Northern California Area 07 - Alameda and Contra Costa Counties |
$186.29 | $251.71 | $313.14 | $226.56 | $306.11 | $380.84 |
| Northern California Area 09 - Santa Clara County |
$191.42 | $258.63 | $321.75 | $232.80 | $314.54 | $391.31 |
| Northern California Area 51 - Napa County |
$176.20 | $238.07 | $296.18 | $214.29 | $289.53 | $360.21 |
| Northern California Area 52 - Marin County |
$184.85 | $249.76 | $310.71 | $224.81 | $303.74 | $377.89 |
| Northern California Area 53 - Solano County |
$176.20 | $238.07 | $296.18 | $214.29 | $289.53 | $360.21 |
| Northern California Area 54 - Kern County |
$165.63 | $223.79 | $278.40 | $201.43 | $272.16 | $338.59 |
| Northern California Area 55 - Butte County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 56 - Fresno County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 57 - Kings County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 58 - Madera County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 59 - Merced County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 60 - Stanislaus County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 61 - Shasta County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 62 - Riverside and San Bernardino Counties |
$166.43 | $224.87 | $279.75 | $202.41 | $273.48 | $340.23 |
| Northern California Area 63 - Placer and Sacramento Counties |
$165.95 | $224.22 | $278.94 | $201.82 | $272.69 | $339.25 |
| Northern California Area 64 - Monterey County |
$170.91 | $230.93 | $287.29 | $207.86 | $280.85 | $349.40 |
| Northern California Area 65 - San Benito County |
$188.05 | $254.09 | $316.10 | $228.71 | $309.01 | $384.44 |
| Northern California Area 66 - Santa Cruz County |
$173.96 | $235.04 | $292.41 | $211.56 | $285.85 | $355.62 |
| Northern California Area 67 - Sonoma County |
$172.19 | $232.66 | $289.44 | $209.42 | $282.95 | $352.02 |
| Northern California Area 68 - San Joaquin County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 69 - Tulare County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 70 - Sutter County |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Northern California Area 75 - All Other Counties |
$164.34 | $222.06 | $276.25 | $199.88 | $270.05 | $335.97 |
| Southern California Area 17 - Ventura County |
$173.31 | $234.18 | $291.33 | $210.78 | $284.79 | $354.31 |
| Southern California Area 18 - Los Angeles County |
$174.92 | $236.34 | $294.02 | $212.73 | $287.43 | $357.59 |
| Southern California Area 26 - Orange County |
$174.92 | $236.34 | $294.02 | $212.73 | $287.43 | $357.59 |
| Southern California Area 71 - Imperial County |
$164.50 | $222.27 | $276.52 | $200.07 | $270.32 | $336.30 |
| Southern California Area 72 - San Diego County |
$170.75 | $230.71 | $287.02 | $207.67 | $280.58 | $349.07 |
| Southern California Area 73 - San Luis Obispo County |
$165.79 | $224.01 | $278.67 | $201.63 | $272.42 | $338.92 |
| Southern California Area 74 - Santa Barbara County |
$171.87 | $232.23 | $288.91 | $209.03 | $282.42 | $351.36 |
Last Updated Thu, 10 Nov 2022 15:19:05 +0000