Last Modified: 1/19/2016
Location: FL, PR, USVI
Business: Part A, Part B
Update to the January 2016 average sales price (ASP) drug pricing file
The Centers for Medicare & Medicaid Services (CMS) has made revisions to the January 2016 ASP drug pricing file. Medicare administrative contractors (MACs) are making these changes to their payment files; the public files posted to the Centers for Medicare & Medicaid Services (CMS) website will be updated to reflect the changes noted below.
• Healthcare Common Procedure Coding System (HCPCS) codes J0886 (Epoetin alfa 1000 units ESRD) and J7506 (Prednisone oral) are being removed from the January file. These codes were terminated on December 31, 2015.
• HCPCS code J7512 (Prednisone, immediate release or delayed release, 1 mg) is being added to the January file.
• The dosage associated with HCPCS code J3090 (Inj tedizolid phosphat) in the ASP drug pricing file is being changed from 10 mg to 1 mg.
First Coast Service Options' (First Coast) fee lookup tool will reflect these revisions within the next few days.
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