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July 22, 2008

July 2008 Update to the ASC Payment System; Summary of Payment Policy Changes – CR6095

  1. New HCPCS Drug Codes Separately Payable under the ASC Payment System: The following CPT codes and descriptors are effective July 1, 2008.

    CPT Short Description
    C9242 – Injection, fosaprepitant
    C9356 – TendoGlide Tendon Prot, cm2
    C9357 – Flowable Wound Matrix, 1cc
    C9358 – SurgiMend, 0.5cm2
  2. Updated Payment rates for certain HCPCS codes Effective January 1, 2008: Fees are posted on our website.

    CPT Short Descriptor
    90675 – Rabies vaccine, im
    J2820 – Sargramostim
    J9010 – Alemtuzumab
    J9015 – Aldesleukin/single use vial
    J9226 – Supprelin LA implant
  3. Updated Payment rates for certain HCPCS codes Effective April 1, 2008: Fees are posted on our website.

    CPT Short Description
    J2323 – Natalizumab inj
    J2778 – Ramibizumab inj
    J3350 – Urea Injection
    J3488 – Reclast injection
  4. Category III CPT Codes Implemented as ASC Covered Surgical Procedures as of July 1, 2008:

    Three new category III CPT codes have been determined appropriate for payment in ASC's effective for DOS July 1, 2008. Please see new category III codes 0190T, 0191T and 0192T and payments rates for your applicable CBSA.


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