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Addendum B Records
Addendum B - Information
CMS Addendum B is a document published by the Centers for Medicare & Medicaid Services (CMS) that provides a list of all the HCPCS codes and their corresponding payment rates for Medicare Part B services.
The document is updated quarterly and includes codes for various medical procedures, tests, and supplies that are covered by Medicare Part B. The payment rates listed in Addendum B are used to reimburse healthcare providers for the services they provide to Medicare beneficiaries.
The HCPCS codes in Addendum B are organized by type of service, with separate sections for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), drugs, laboratory tests, and other services. Each code is listed with a description of the service or item it represents, along with the payment rate for that code.
Healthcare providers and suppliers who bill Medicare for Part B services must use the codes and payment rates listed in Addendum B to ensure they are properly reimbursed. The document is an important resource for healthcare providers and suppliers who participate in the Medicare program.
To search for HCPCS codes related to pharmacies, you can type ~rx in the search bar. This will filter the table and only show items that are relevant to medications.
You can identify new items by their status, which indicates they have not been included in any previous files. By expanding each row, you can access historical information on each HCPCS code, including changes in payment rates, status indicators, and other details.
Status | Descriptor | HCPCS | Indicator | Effective On | |
---|---|---|---|---|---|
New | Pt recd actv chemo any time | M1156 | M | 1/2023 |
|
New | Borrelia miyamotoi amp prb | 87478 | Q4 | 1/2023 |
|
New | Vr px dissoc svc oth phy 1st | 0773T | E1 | 1/2023 |
|
New | Dgtz gls mcrscp sl spc hchem | 0758T | N | 1/2023 |
|
New | Tissue regen non-resorbable | D6107 | B | 1/2023 |
|
New | Replace material prosthesis | D6197 | B | 1/2023 |
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New | Perq p-art revsc 1 abnor bi | 33903 | J1 | 1/2023 |
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New | Onc orop 17 dna ddpcr alg | 0356U | A | 1/2023 |
|
New | Pt enceph due to dtp bef 13 | M1162 | M | 1/2023 |
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New | Perc bx breast lesions mr | C7502 | E1 | 1/2023 |
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Last CMS Update: 1/20/2023 |