Billing and Coding: Complex Drug Administration Coding (A58533) - R10 - Effective July 21, 2022

This coverage article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: July 21, 2022

Summary of Article Changes: Effective 07/21/2022, patisiran (Onpattro™) (J0222) has been removed from the Infusions Non-Chemotherapy table and the CPT/HCPCS Codes Group 2. Effective for dates of service on or after 09/04/2022, ezepelumab-ekko (Tezspire™) (J2356) has been added to the Subcutaneous and Intramuscular Injection Non-Chemotherapy table and the CPT/HCPCS Codes Group 1.

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Last Updated Jul 21 , 2022