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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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 Wed, 20 Jan 2021 20:17:42 +0000