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Drug Code List Version 11.4 Revised 5/18/18 List Will Be Updated Routinely

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Drug Code List Version 11.4 Revised 5/18/18 List Will Be Updated Routinely Drug Code List Version 11.4 Revised 5/18/18 List will be updated routinely Disclaimer: For drug codes that require an NDC, coverage depends on the drug NDC status (rebate eligible, Non-DESI, non-termed, etc) on the date of service. Note: Physician/Facility-administered medications are reimbursed using the Centers for Medicare and Medicaid Services (CMS) Part B Drug pricing file found on the CMS website--www.cms.hhs.gov. In the absence of a fee, pricing may reflect the methodolgy used for retail pharmacies. Highlights represent updated material for each specific revision of the Drug Code List. Code Description Brand Name NDC NDC unit Category Service AC CAH P NP MW MH HS PO OPH HI IDT DC Special Instructions Requir of Limits OP OP F ed measure 90281 human ig, im Gamastan Yes ML Antisera NONE X X X X Closed 3/31/13. 90283 human ig, iv Gamimune, Yes ML Antisera NONE X X X X Closed 3/31/13. Cost invoice required with claim. Restricted to ICD-9 diagnoses codes 204.10 - 204.12, Flebogamma, 279.02, 279.04, 279.06, 279.12, 287.31, and 446.1, and must be included on claim form, effective 10/1/09. Gammagard 90287 botulinum antitoxin N/A Antisera Not Covered 90288 botulism ig, iv No ML NONE X X X X Requires documentation and medical review 90291 cmv ig, iv Cytogam Yes ML Antisera NONE X X X X Closed 3/31/13. 90296 diphtheria antitoxin No ML NONE X X X X 90371 hep b ig, im Bayhep B, Yes ML Antisera NONE X X X X Closed 3/31/13. Hyperhep B, Nabi-HB 90375 rabies ig, im/sc HyperRab Yes ML Antisera NONE X X X X 90376 rabies ig, heat treated Imogam Yes ML Antisera NONE X X X X 90378 Respiratory syncytial Synagis Yes ML Antisera NONE X X X Pends for manual review. Requires prior authorization from Rational Drug Therapy Program (RDTP), at 1- virus immune 800-847-3859. globulin(RSV-IgIM), for intramuscular use, 50 mg., each 90379 Respiratory syncytial Respigam Yes ML Antisera NONE X X X Closed. virus immune globulin(RSV-IgIV), human, for intravenous use 90384 Rho(D) immune globulin Gamulin RH Yes EA=UN Immune globulin NONE X X X X X Code closed 3/31/13. See J2790 after this date. (RhIg), human, full-dose, SOL=ML 300 mcg., intramuscular use 90385 Rho(D) immune globulin BayRho-D Yes SOL=ML Immune globulin NONE X X X X Code closed 3/31/13. See J2788 after this date. (RhIg), human, mini- MicrhoGam EA=UN dose, 50 mcg., Hyprho-D intramuscular use 90386 Rho(D) immune globulin BAYrho-D Yes EA=UN Immune globulin NONE X X X X Closed 3/31/13. (RhIgIV), human, Winrho SDF SOL=ML intravenous use 90393 vaccina ig, im No ML NONE X X X X Requires documentation and medical review 1 Code Description Brand Name NDC NDC unit Category Service AC CAH P NP MW MH HS PO OPH HI IDT DC Special Instructions Requir of Limits OP OP F ed measure 90396 varicella-zoster ig, im Varicella- Yes ML Antisera NONE X X X X Zoster 90399 immune globulin Gammagard Yes ML Antisera NONE X X X X Requires documentation and medical review Polygam Radiopharmaceuticals A4641 Radiopharmaceutical, Not Covered diagnostic, not otherwise classified A4642 In111 satumomab No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed INDIUM IN-111 agent SATUMOMAB PENDETIDE, Radio- DIAGNOSTIC, PER pharmaceutical STUDY DOSE, UP TO 6 MILLICURIES A9500 Tc99m sestamibi No Diagnostic X X X X TECHNETIUM TC-99M agent SESTAMIBI, DIAGNOSTIC, PER Radio- STUDY DOSE pharmaceutical A9501 Technetium TC-99M No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed Teboroxime, Diagnostic, agent per Study Dose Radio- pharmaceutical A9502 Tc99m tetrofosmin No Diagnostic X X X X TECHNETIUM TC-99M agent TETROFOSMIN, DIAGNOSTIC, PER Radio- STUDY DOSE pharmaceutical A9503 Tc99m medronate No Diagnostic X X X X TECHNETIUM TC-99M agent MEDRONATE, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 30 MILLICURIES 2 Code Description Brand Name NDC NDC unit Category Service AC CAH P NP MW MH HS PO OPH HI IDT DC Special Instructions Requir of Limits OP OP F ed measure A9504 Tc99m apcitide No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed TECHNETIUM TC-99M agent APCITIDE, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 20 MILLICURIES A9505 TL201 thallium No Diagnostic X X X X THALLIUM TL-201 agent THALLOUS CHLORIDE, DIAGNOSTIC, PER Radio- MILLICURIE pharmaceutical A9507 In111 capromab Prostascint No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed INDIUM IN-111 Kit agent CAPROMAB PENDETIDE, Radio- DIAGNOSTIC, PER pharmaceutical STUDY DOSE, UP TO 10 MILLICURIES A9508 I131 iodobenguate, dx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-131 agent IOBENGUANE SULFATE, Radio- DIAGNOSTIC, PER 0.5 pharmaceutical MILLICURIE A9509 IODINE I-123 Sodium No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed Iodide, Diagnostic, Per agent Millicurie Radio- pharmaceutical A9510 Tc99m disofenin No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed TECHNETIUM TC-99M agent DISOFENIN, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 15 MILLICURIES A9512 Tc99m No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed pertechnetate agent TECHNETIUM TC-99M PERTECHNETATE, Radio- DIAGNOSTIC, PER pharmaceutical MILLICURIE 3 Code Description Brand Name NDC NDC unit Category Service AC CAH P NP MW MH HS PO OPH HI IDT DC Special Instructions Requir of Limits OP OP F ed measure A9516 I123 iodide cap, dx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-123 SODIUM agent IODIDE CAPSULE(S), DIAGNOSTIC, PER 100 Radio- MICROCURIES pharmaceutical A9517 I131 iodide cap, rx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-131 SODIUM agent IODIDE CAPSULE(S), THERAPEUTIC, PER Radio- MILLICURIE pharmaceutical A9520 Technetium tc-99m, No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed tilmanocept, diagnostic, agent up to 0.5 millicuries Radio- pharmaceutical A9521 Tc99m exametazime No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed agent TECHNETIUM TC-99M EXAMETAZIME, Radio- DIAGNOSTIC, PER pharmaceutical STUDY DOSE, UP TO 25 MILLICURIES A9524 I131 serum albumin, dx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-131 agent IODINATED SERUM ALBUMIN, Radio- DIAGNOSTIC, PER 5 pharmaceutical MICROCURIES A9526 Nitrogen N-13 ammonia No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed NITROGEN N-13 agent AMMONIA, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 40 MILLICURIES A9527 Iodine I-125 sodium No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed iodide agent IODINE I-125, SODIUM IODIDE SOLUTION, Radio- THERAPEUTIC, PER pharmaceutical MILLICURIE 4 Code Description Brand Name NDC NDC unit Category Service AC CAH P NP MW MH HS PO OPH HI IDT DC Special Instructions Requir of Limits OP OP F ed measure A9528 Iodine I-131 iodide cap, No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed dx agent IODINE I-131 SODIUM IODIDE CAPSULE(S), Radio- DIAGNOSTIC, PER pharmaceutical MILLICURIE A9529 I131 iodide sol, dx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-131 SODIUM agent IODIDE SOLUTION, DIAGNOSTIC, PER Radio- MILLICURIE pharmaceutical A9530 I131 iodide sol, rx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-131 SODIUM agent IODIDE SOLUTION, THERAPEUTIC, PER Radio- MILLICURIE pharmaceutical A9531 I131 max 100uCi No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-131 SODIUM agent IODIDE, DIAGNOSTIC, PER MICROCURIE (UP Radio- TO 100 MICROCURIES) pharmaceutical A9532 I125 serum albumin, dx No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed IODINE I-125 SERUM agent ALBUMIN, DIAGNOSTIC, PER 5 Radio- MICROCURIES pharmaceutical A9535 Injection, methylene blue Methylene No Diagnostic X X X X Closed 1/1/10. CodeTermed INJECTION, Blue agent METHYLENE BLUE, 1 ML Radio- pharmaceutical A9536 Tc99m depreotide No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed TECHNETIUM TC-99M agent DEPREOTIDE, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 35 MILLICURIES A9537 Tc99m mebrofenin No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed TECHNETIUM TC-99M agent MEBROFENIN, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 15 MILLICURIES 5 Code Description Brand Name NDC NDC unit Category Service AC CAH P NP MW MH HS PO OPH HI IDT DC Special Instructions Requir of Limits OP OP F ed measure A9538 Tc99m pyrophosphate No Diagnostic X X X X Paper Claim. Send copy of the invoice which includes the NDC billed TECHNETIUM TC-99M agent PYROPHOSPHATE, DIAGNOSTIC, PER Radio- STUDY DOSE, UP TO pharmaceutical 25 MILLICURIES A9539 Tc99m pentetate CA-DTPA No Diagnostic X X X X Paper Claim.
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