M A C   I m p l e m e n t a t i o n   F i l e   8   -   N e w   T e c h n o l o g y   A d d - o n   P a y m e n t   ( N T A P )   -   T e c h n o l o g i e s   N O   L O N G E R   R e c e i v i n g   N T A P   i n   F Y   2 0 2 4 	 	 	 
 
 T e c h n o l o g y 	 M a x i m u m   A d d - o n   P a y m e n t   i n   F Y   2 0 2 3 	 I C D - 1 0 - C M / P C S   C o d i n g   U s e d   t o   I d e n t i f y   C a s e s   E l i g i b l e   f o r   N T A P 	 A l t e r n a t i v e   P a t h w a y s   S t a t u s 
 
 A b e c m a    ( i d e c a b t a g e n e   v i c l e u c e l ) 	 " $ 2 8 9 , 5 3 2 . 7 5 " 	 X W 0 3 3 K 7   o r   X W 0 4 3 K 7 	 
 
 a S c o p e "!  d u o d e n o 	 " $ 1 , 2 9 6 . 7 5 " 	 X F J B 8 A 7   o r   X F J D 8 A 7 	 B r e a k t h r o u g h   D e v i c e 
 
 a p r e v o    I n t e r v e r t e b r a l   B o d y   F u s i o n   D e v i c e   ( A L I F / L L I F   i n d i c a t i o n s ) 	 " $ 4 0 , 9 5 0 . 0 0 " 	 " X R G A 0 R 7 ,   X R G A 3 R 7 ,   X R G A 4 R 7 ,   X R G B 0 R 7 ,   X R G B 3 R 7 ,   X R G B 4 R 7 ,   X R G C 0 R 7 ,   X R G C 3 R 7 ,   X R G C 4 R 7 ,   X R G D 0 R 7 ,   X R G D 3 R 7 ,   o r   X R G D 4 R 7 " 	 B r e a k t h r o u g h   D e v i c e 
 
 C a p t i o n   G u i d a n c e "!	 " $ 1 , 8 6 8 . 1 0 " 	 X 2 J A X 4 7 	 B r e a k t h r o u g h   D e v i c e 
 
 C a r v y k t i "!  ( c i l t a c a b t a g e n e   a u t o l e u c e l ) 	 " $ 2 8 9 , 5 3 2 . 7 5 " 	 X W 0 3 3 A 7   o r   X W 0 4 3 A 7 	 
 
 C o s e l a "!( t r i l a c i c l i b ) 	 " $ 5 , 6 1 2 . 1 0 " 	 X W 0 3 3 7 7   o r   X W 0 4 3 7 7 	 
 
 D A R Z A L E X   F A S P R O    ( d a r a t u m u m a b   a n d   h y a l u r o n i d a s e   f i h j ) 	 " $ 5 , 1 5 9 . 4 1 " 	 X W 0 1 3 1 8   i n   c o m b i n a t i o n   w i t h   E 8 5 . 8 1 	 
 
 F e t r o j a    ( c e f i d e r o c o l )   ( H A B P / V A B P   i n d i c a t i o n s ) 	 " $ 8 , 5 7 9 . 8 4 " 	 " X W 0 3 3 A 6   o r   X W 0 4 3 A 6  i n   c o m b i n a t i o n   w i t h  Y 9 5   a n d   o n e   o f   t h e   f o l l o w i n g :   J 1 4 ,   J 1 5 . 0 ,   J 1 5 . 1 ,   J 1 5 . 5 ,   J 1 5 . 6 ,   J 1 5 . 8  O R  X W 0 3 3 A 6   o r   X W 0 4 3 A 6  i n   c o m b i n a t i o n   w i t h  J 9 5 . 8 5 1   a n d   o n e   o f   t h e   f o l l o w i n g :   B 9 6 . 1 ,   B 9 6 . 2 0 ,   B 9 6 . 2 1 ,   B 9 6 . 2 2 ,   B 9 6 . 2 3 ,   B 9 6 . 2 9 ,   B 9 6 . 3 ,   B 9 6 . 5 ,   B 9 6 . 8 9 " 	 Q I D P 
 
 H A R M O N Y "!  T r a n s c a t h e t e r   P u l m o n a r y   V a l v e   ( T P V )   S y s t e m 	 " $ 2 6 , 9 7 5 . 0 0 " 	 0 2 R H 3 8 M 	 B r e a k t h r o u g h   D e v i c e 
 
 H e m o l u n g   R e s p i r a t o r y   A s s i s t   S y s t e m   ( R A S )   ( C o v i d - 1 9   r e l a t e d   u s e ) 	 " $ 6 , 5 0 0 . 0 0 " 	 5 A 0 9 2 0 Z   i n   c o m b i n a t i o n   w i t h   U 0 7 . 1 	 
 
 " R E C A R B R I O "!  ( i m i p e n e m ,   c i l a s t a t i n ,   a n d   r e l e b a c t a m )   ( H A B P / V A B P   i n d i c a t i o n s ) " 	 " $ 9 , 5 7 6 . 5 1 " 	 " X W 0 3 3 U 5   o r   X W 0 4 3 U 5  i n   c o m b i n a t i o n   w i t h  Y 9 5   a n d   o n e   o f   t h e   f o l l o w i n g :   J 1 4 ,   J 1 5 . 0 ,   J 1 5 . 1 ,   J 1 5 . 5 ,   J 1 5 . 6 ,   o r   J 1 5 . 8  O R  X W 0 3 3 U 5   o r   X W 0 4 3 U 5  i n   c o m b i n a t i o n  w i t h   J 9 5 . 8 5 1   a n d   o n e   o f   t h e   f o l l o w i n g :   B 9 6 . 1 ,   B 9 6 . 2 0 ,   B 9 6 . 2 1 ,   B 9 6 . 2 2 ,   B 9 6 . 2 3 ,   B 9 6 . 2 9 ,   B 9 6 . 3 ,   B 9 6 . 5 ,   B 9 6 . 8 9 " 	 Q I D P 
 
 S h o c k W a v e   C 2   I n t r a v a s c u l a r   L i t h o t r i p s y   ( I V L )   S y s t e m 	 " $ 3 , 6 6 6 . 0 0 " 	 " 0 2 F 0 3 Z Z ,   0 2 F 1 3 Z Z ,   0 2 F 2 3 Z Z ,   o r   0 2 F 3 3 Z Z " 	 B r e a k t h r o u g h   D e v i c e 
 
 T e c a r t u s    ( b r e x u c a b t a g e n e   a u t o l e u c e l ) 	 " $ 2 5 9 , 3 5 0 . 0 0 " 	 X W 0 3 3 M 7   o r   X W 0 4 3 M 7 	 
 
 V e k l u r y    ( r e m d e s i v i r ) 	 " $ 2 , 0 2 8 . 0 0 " 	 X W 0 3 3 E 5   o r   X W 0 4 3 E 5 	 
 
 Z e p z e l c a    ( l u r b i n e c t e d i n ) 	 " $ 9 , 1 4 5 . 5 0 " 	 X W 0 3 3 8 7   o r   X W 0 4 3 8 7 	 
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