February 27, 2025
Immunosuppressive Drug Supply Allowance
These instructions apply to billing immunosuppressive drugs under the Immunosuppressive Drugs LCD L33824.
Dates of service on or after January 1, 2025:
- Suppliers can dispense and bill up to a 90-day supply of immunosuppressive drugs.
- Claim Narrative field: 3-months or 90 days
- CGS will automatically adjust claims with dates of service on or after January 1, 2025, that denied in error for billing a 90 day-supply.
Dates of service before January 1, 2025:
- Suppliers can dispense and bill no more than a 30-day of immunosuppressive drugs.