M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring...
M0239 - Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring
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The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.
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Medicare - Carrier Priced
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Medicare COVID-19 Fees
Labeler | Vaccine Procedure | Payment Allowance | Effective From | Effective To | Footnotes | My Fee |
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Eli Lilly | Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring | $309.60 | 2020-11-10 | 2021-04-16 | [3][4] | (your fee) |
[3] These rates will be geographically adjusted for many providers.
[4] On April 16, 2021, the FDA revoked the EUA that allowed for the investigational monoclonal antibody therapy bamlanivimab, when administered alone, to be used for the treatment of mild-to-moderate COVID-19 in adults and certain pediatric patients. As a result, Medicare won't pay for claims with HCPCS codes M0239 or Q0239 with dates of service after April 16, 2021.
Learn more at: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies
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