October 1, 2022
The following revisions were incorporated into the October 1, 2022 update.
Revisions Procedure codes
E2368, E2369, E2370, E2374, E2375 and E2376 were removed from the section “Repair or replacement of all DME items, as well as orthoses and prosthetics that require precertification". Procedure codes
E2368, E2369, E2370, E2374, E2375 and E2376 were added to the section “Electric, power, and motorized wheelchairs including custom accessories". The notation below was added to the section “Repair or replacement of all DME items, as well as orthoses and prosthetics that require precertification".
*See specific DME, orthoses, and prosthetics categories for Repair or Replacement codes that require precertification.
Additions Genetically and bio-engineered skin substitutes for wound care
A2014, A2015, A2016, A2018
Antineoplastic agentsAlymsys® - J3590 and C9142 Kimmtrak® - J9274 Opdualag™ - J9298
Chimeric antigen receptor (CAR-T) therapiesCarvykti™ - Q2056
Endocrine/metabolic agentsCipla –
J1932
NeutropeniaReleuko™ - Q5125
Ophthalmic agentsVabysmo® -
J2777
Miscellaneous therapeutic agentsEnjaymo™ - J1302
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Deletions
Antineoplastic agentsAlymsys®
-
J3490 and C9399 Kimmtrak® - J9095 and J9999 Opdualag™ - C9399 and J3590
Chimeric antigen receptor (CAR-T) therapiesCarvykti™ - J3590 and C9098
Endocrine/metabolic agentslanerotide – J1932
NeutropeniaReleuko™ - C9096 and J3590
Ophthalmic agentsVabysmo® -
J3490, J3590, and C9097
Miscellaneous therapeutic agentsEnjaymo™ - C9094 and J3590 |