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2023 HCPCS Codes Level II
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2023 ASP Drug Pricing

Payment for infusion drugs furnished through a covered item of DME will be based on Section 1847A of the Social Security Act, meaning that most of the payments will be based on the Average Sales Price of these drugs. The ASP Drug Pricing data for 2017 and subsequent years will no longer contain values for the Infusion AWP or the DME infusion limit. Unless otherwise specified, the Payment Limit will be applied to payments for drugs infused through covered DME. Additional information of DME Infusion Drug Pricing is available through the DME MACs.

Medicare Part B Drug Average Sales Price & Payment Allowance Limits

CMS guidance requires physicians & other providers to bill using the appropriate HCPCS or CPT code and to accurately report the units of service. Physicians and other providers should ensure that the units billed do not exceed the maximum number of units per day based on the code descriptor, reporting instructions associated with the code, and/or other CMS local or national policy.

The Medicare Part B payment limits for valid HCPCS codes that are not included in the quarterly ASP pricing will be determined by the local Medicare contractor.

ASP Drug Pricing

April 2023 - (2nd Quarter)

Effective April 1, 2023 through June 30, 2023

January 2023 - (1st Quarter)

Effective January 1, 2023 through March 31, 2023

October 2022 - (4th Quarter)

Effective October 1, 2022 - December 31, 2022

July 2022 - (3rd Quarter)

Effective Jul 1, 2022 through Sep 30, 2022

April 2022 - (2nd Quarter)

Effective April 1, 2022 through June 30, 2022

NDC - HCPCS Crosswalk

April 2023 - (2nd Quarter)

Effective April 1, 2023 through June 30, 2023

January 2023 - (1st Quarter)

Effective January 1, 2023 through March 31, 2023

October 2022 - (4th Quarter)

Effective October 1, 2022 - December 31, 2022

July 2022 - (3rd Quarter)

Effective Jul 1, 2022 through Sep 30, 2022

April 2022 - (2nd Quarter)

Effective April 1, 2022 through June 30, 2022


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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, America's Health Insurance Plans , and Blue Cross and Blue Shield Association).

CPT® codes and descriptions are copyright American Medical Association (AMA). Current Dental Terminology, (CDT) are copyright American Dental Association. All rights reserved.