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Q1 2007 Medicare Part B Payment Rates
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CMS Publishes Final Rule for Medicare 2007 Reimbursement
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Hospital Outpatient Prospective Payment System
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Q1 2007 Medicare Part B Payment Rates
HCPCS Code |
Description |
Unit of Measure |
Payment Rate |
| G 0332 |
Preadministration-related services for intravenous infusion of immunoglobulin, per infusion encounter (service is to be billed in conjunction with the administration of immune globulin) |
N/A |
$71.00 |
| J 0256
|
Injection, alpha1 – proteinase inhibitor, human
|
Per 10 mg
|
$ 3.414.
|
|
J 1562 |
Injection, immune globulin, subcutaneous
|
Per 100 mg |
per DME statute |
| J 1566 |
Injection, immune globulin, intravenous, lyophilized |
Per 500 mg |
$25.605 |
| J 1567 |
Injection, immune globulin, intravenous, non-lyophilized |
Per 500 mg |
$30.443 |
| J 2790 |
Injection, Rho(D), immune globulin, human |
Per 300 mcg |
$81.594 |
| J 2792 |
Injection, Rho(D), immune globulin, intravenous, human, solvent detergent |
Per 100 IU |
$16.515 |
| J 7188 |
von Willebrand factor complex, human
|
Per IU |
Eliminated in 2007 |
| J 7187 |
von Willebrand factor complex ristocetin cofactor |
Per IU of ristocetin cofactor |
$0.887 |
| J7189 |
Factor VIIa |
|
$1.460 |
| J 7190 |
Factor VIII, anti-hemophilic factor, human |
Per IU |
$0.700 |
| J 7192 |
Factor VIII, anti-hemophilic factor, recombinant |
Per IU |
$1.067 |
| J 7193 |
Factor IX, anti-hemophilic factor, purified, non-recombinant |
Per IU |
$0.896 |
| J 7194 |
Factor IX, anti-hemophilic factor, complex |
Per IU |
$0.743 |
| J 7195 |
Factor IX, anti-hemophilic factor, recombinant |
Per IU |
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| J 7198 |
Anti-inhibitor |
Per IU |
1.360 |
ZLB Behring will continue to monitor and report any changes to Medicare reimbursement as well as access to care issues for our IVIG providers and patients. For more information on this topic, the ZLB Behring Toll free Reimbursement Answerline can be reached by calling 1-800-676-4266. The CMS Final Rule can be reviewed via the following website addresses:
1. Link to HOPPS Final Rule (CMS-1506-FC):
2. Link to Part B/Physician Fee Schedule Final Rule (CMS-1321-FC):
ZLB Behring assumes no responsibility for the individual interpretation of any material, facts or references provided within the context of its publication of Reimbursement Alert.
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CMS Publishes Final Rule for Medicare 2007 Reimbursement
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