MAC Implementation File 8 - FY 2023 New Technology Add-on Payment (NTAP) - Technologies Beginning to Receive NTAP 			
Technology	Maximum Add-on Payment	ICD-10-CM/PCS Codes Used to Identify Cases Eligible for NTAP	Alternative Pathways Status
DefenCath	"$4,387.50"	XY0YX28 	QIDP
Carvykti (ciltacabtagene autoleucel)	"$289,532.75"	XW033A7 or XW043A7	
DARZALEX FASPRO	"$5,159.41"	XW01318 in combination with E85.81	
Livtencity (maribavir) 	"$32,500.00"	XW0DX38 or XW0G738 or XW0H738	
Hemolung Respiratory Assist System (RAS)	"$6,500.00"	5A0920Z	
Cerament G	"$4,918.55"	XW0V0P7	Breakthrough Device
GORE TAG Thoracic Branch Endoprosthesis	"$27,807.00"	02VW3DZ in combination with 02VX3EZ	Breakthrough Device
iFuse Bedrock Granite Implant System	"$9,828.00"	"XNH6058, XNH6358, XNH7058, XNH7358, XRGE058, XRGE358, XRGF058, or XRGF358"	Breakthrough Device
Thoraflex Hybrid Device	"$22,750.00"	X2RX0N7 in combination with X2VW0N7	Breakthrough Device
ViviStim Paired VNS System	"$23,400.00"	X0HQ3R8	Breakthrough Device
