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MM12667: Update to 'J' Drug Code List for Billing Home Infusion Therapy (HIT) Services

This new Article comprises Subregulatory Guidance for updates due to Section 5012(d) of the 21st Century Cures Act detailing necessary changes to those systems and processes to include a newly assigned HCPCS drug code for payment beginning July 1, 2022; and updates the list of home infusion drugs to add J1551 to payment category 2. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR12667 that is posted on the CMS website at https://www.cms.gov/files/document/r11430cp.pdf.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 31, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.