AHA Coding Clinic® for HCPCS - 2004 Issue 2; FOR your INFORMATION

Pass-through payment for newly approved drugs and biologicals

The following drugs were designated eligible for pass-through payment under the OPPS by CMS, effective April 1, 2004. HCPCSEffective date for pass-through statusSIAPCShort descriptorLong descriptorPayment rateMinimum unadjusted copaymentEffective date for payment rateC9124 4/1/2004 G 9124 Injection, daptomycin Injection, daptomycin, per 1 mg $0.31 $0.05 1/1/2004 C9125 4/1/2004 G 9125 Injection, risperidone Injection, risperidone, per 12.5 mg $131.86 $19.71 1/1/2004 J2783 4/1/2004 G 0738 Rasburicase Injection, rasburicase, 0.5 mg $105.54 $17.63 4/1/2004 These payments will be temporary until there is sufficient cost data from outpatient services to develop an appropriate price within...

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