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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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