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: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (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.

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.

Last Updated Jul 21 , 2022