Part B Insider (Multispecialty) Coding Alert
Medicare Adjusts Dozens of Drug Payments
If your practice bills Medicare for lots of prescription drugs, then it's time to update your pricing charts.
Part B carrier Cigna posted the fourth-quarter drug payment updates, which take effect Oct. 1, on its Web site. The Centers for Medicare & Medicaid Services sets national prices for drugs furnished incident-to a physician's services using its Single Drug Pricer methodology.
Among the drugs that received increases were:
Among the drugs reduced were:
CMS also added two new drug codes: Q4076 (dopamine hydrochloride) and Q4077 (treprostinil), which reimburse at $0.62 and $37.05 respectively.
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