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January 31, 2019

Frequently Asked Questions – Temporary Transitional Payment for Home Infusion Therapy Services for CY 2019 and 2020 (CR10836)

Joint DME MAC Article

Background: Effective for dates of service (DOS) on or after January 1, 2019, the following G-codes are available for billing certain home infusion therapy services:

G0068 Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, and/or inotropic infusion drug(s) for each infusion drug administration calendar day in the individual's home, each 15 minutes
G0069 Professional services for the administration of subcutaneous immunotherapy for each infusion drug administration calendar day in the individual's home, each 15 minutes
G0070 Professional services for the administration of chemotherapy for each infusion drug administration calendar day in the individual's home, each 15 minutes

The following FAQs address some of the questions received by the DME MACs.

Click on a question to expand or Show All / Close All

Additional clarifying information is available in MLN® Number MM10836External PDF and Home Infusion Therapy Services Temporary Transitional Payment: Frequently Asked Questions (FAQs)External PDF on the CMS web site.

Publication History

January 2019 Original Publication
May 2019 Updated to include link to CMS FAQs for clarifying information
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