ADD - EFFECTIVE 01/01/2026
Major Category I. B. - Cardiac Catheterization
- C7568 ADD COR ANGIO W/FLOW RESRV
- C7569 ADD PTCA W/ IVUS OR OCT
- C7570 ADD COR ANGIO W/FFR & 3D MAP
- C7571 ADD PCTA W/ COR LITHOTRIP
Major Category III. A. - Chemotherapy
- C9308 ADD INJ, CARBOPLATIN (AVYXA)
- J9184 ADD INJ GEMCITABIN (AVYXA) 200MG
- J9282 ADD MITOMYCIN INTRAVESICAL INST
- J9326 ADD TELISOTUZUMAB VEDOTIN-TLLV
Major Category III. C. -Radioisotopes and their Administration
- C9176 ADD DOM NONHEU TC99M ADD-ON/DOSE
TERMINATE - EFFECTIVE 01/01/2026
Major Category III. A. - Chemotherapy
- J9019
- J9020
- J9098
- J9151
- J9270
Major Category III. D. - Customized Prosthetic Devices
- L8701
- L8702
Page Last Modified:
12/11/2025 10:18 AM