Home Infusion Therapy Fees - JF 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.
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 |
---|---|---|---|---|---|---|
Alaska | $209.50 | $283.08 | $352.16 | $254.80 | $344.27 | $428.29 |
Arizona | $157.74 | $213.13 | $265.14 | $191.84 | $259.20 | $322.46 |
Idaho | $149.30 | $201.73 | $250.96 | $181.58 | $245.34 | $305.21 |
Montana | $162.12 | $219.05 | $272.51 | $197.17 | $266.40 | $331.42 |
North Dakota | $158.39 | $214.01 | $266.23 | $192.63 | $260.27 | $323.79 |
Oregon Area 01 - Portland |
$165.36 | $223.44 | $277.96 | $201.12 | $271.74 | $338.05 |
Oregon Area 99 - Rest of Oregon |
$155.14 | $209.62 | $260.78 | $188.69 | $254.94 | $317.15 |
South Dakota | $157.74 | $213.13 | $265.14 | $191.84 | $259.20 | $322.46 |
Utah | $154.98 | $209.40 | $260.50 | $188.49 | $254.67 | $316.82 |
Washington Area 02 - Seattle (King County) |
$177.86 | $240.32 | $298.97 | $216.32 | $292.27 | $363.60 |
Washington Area 99 - Rest of Washington |
$161.47 | $218.17 | $271.42 | $196.38 | $265.34 | $330.09 |
Wyoming | $161.14 | $217.74 | $270.87 | $195.99 | $264.80 | $329.43 |
2021 Home Infusion Therapy Fees
State/Locality/Counties | G0068 | G0069 | G0070 | G0088 | G0089 | G0090 |
---|---|---|---|---|---|---|
Alaska | $206.79 | $279.41 | $347.60 | $251.50 | $339.80 | $422.75 |
Arizona | $155.69 | $210.37 | $261.71 | $189.36 | $255.84 | $318.29 |
Idaho | $147.37 | $199.12 | $247.71 | $179.23 | $242.15 | $301.26 |
Montana | $160.02 | $216.21 | $268.98 | $194.62 | $262.95 | $327.13 |
North Dakota | $156.34 | $211.24 | $262.79 | $190.13 | $256.89 | $319.60 |
Oregon Area 01 - Portland |
$163.38 | $220.76 | $274.64 | $198.71 | $268.47 | $334.01 |
Oregon Area 99 - Rest of Oregon |
$153.13 | $206.91 | $257.40 | $186.24 | $251.63 | $313.05 |
South Dakota | $155.69 | $210.37 | $261.71 | $189.36 | $255.84 | $318.29 |
Utah | $152.97 | $206.69 | $257.13 | $186.04 | $251.37 | $312.72 |
Washington Area 02 - Seattle (King County) |
$175.56 | $237.21 | $295.10 | $213.51 | $288.48 | $358.90 |
Washington Area 99 - Rest of Washington |
$159.38 | $215.35 | $267.90 | $193.84 | $261.89 | $325.82 |
Wyoming | $159.06 | $214.91 | $267.37 | $193.45 | $261.37 | $325.17 |
Last Updated Thu, 10 Nov 2022 15:19:16 +0000