2025 Part B MAC Update

Part B SNF CB - 2025 April Updates

The annual update includes the following retroactive updates:

HCPCSShort DescriptorAction Needed

ADDITIONS

G0563

Sbrt w/positron emission del

Add to File#1

J9076

Inj, cyclophos (baxter) 5mg

Add to File#1

J9292

Inj, pemetrexed (avyxa) 10mg

Add to File#1

J0601

Sevelamer carbonate 20 mg

Add to File#1

J0602

Sevelamer carbonate pdr 20mg

Add to File#1

J0603

Sevelamer hydrochloride 20mg

Add to File#1

J0605

Sucroferric oxyhydroxide 5mg

Add to File#1

J0607

Lanthanum carbonate oral 5mg

Add to File#1

J0608

Lanthanum carbonate pwdr 5mg

Add to File#1

J0609

Ferric citrate orl 3 mg iron

Add to File#1

J0615

Calcium acetate, oral, 23 mg

Add to File#1

J0901

Vadadustat oral 1mg for esrd

Add to File#1

J1414

Inj, beqvez, per tx dose

Add to File#1

J2802

Inj, romiplostim 1 microgram

Add to File#1

DELETIONS

J9058

Inj apotex/bendamustine

Delete from File#1

J9059

Inj bendamustine, baxter 1mg

Delete from File#1

J9259

Paclitaxel (american regent

Delete From File#1

96445

Chemotherapy administration, intraperitoneal

Delete from File#1

J9140

Dacarbazine 200 mg injection

Delete from File#1

G0106

Colon ca screen;barium enema

Delete from File#2

G0120

Colon ca scrn; barium enema

Delete from File#2

 

Part B SNF CB - 2025 January Updates

The annual update includes the following retroactive updates:

CodeShort DescriptorEffective dateAction Needed

ADDITIONS

J9329Inj, tislelizumab-jsgr10/01/2024Add to File#1
L8720Ext low ext sens prosthe mec10/01/2024Add to File#1
L8721Receptor sole l8720 replace10/01/2024Add to File#1
C9172Inj, beqvez, per tx dose10/01/2024Add to File#1
G0541No pt present train, initial 3001/01/2025Add to File #4
G0542Care train to pts face to face 15m01/01/2025Add to File#4
G0543Group train w/o patient01/01/2025Add to File#4
J8611Oral methotrexate (jylamvo)07/01/2024Add to File #1
J8612Oral methotrexate (xatmep)07/01/2024Add to File #1

DELETIONS

J9371Inj, vincristine sul lip 1mg07/01/2024 
Page Last Modified:
03/13/2025 08:07 PM