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Reimbursement
Newsletter

RJ Health provides insight into new drugs and devices, code price updates and more as it applies to medically covered drugs.

Specialty Drug Reimbursement Newsletter | January 2025

RJ Health, an MMIT company, delivers industry standard specialty drug pricing, coding and reimbursement solutions to support payer and provider alignment.

Every month, our team evaluates a variety of pricing and coding updates. In the January edition of the Specialty Drug Reimbursement Newsletter, we identified 155 drug code price changes this month, with 19 of them being price decreases. We have also identified drugs to be added or updated within our database. Preview some of these insights below:

This month, during our review of the 3926 Reimbursement HCPCS/CPT® Codes in our system, we identified 155 Drug Codes that required a recalculation of their AWP Code Price. Clients can log in to www.ReimbursementCodes.com to view the pricing updates for these codes.

86580 A9557 J0139 J0870 J2278 J7211 J9076 Q4352
90284 A9558 J0174 J0873 J2290 J7212 J9118 Q4353
90619 A9582 J0184 J0901 J2404 J7296 J9190 Q5140
90691 A9588 J0185 J1201 J2405 J7298 J9202 Q5141
90697 A9589 J0209 J1301 J2472 J7300 J9266 Q5142
90698 A9606 J0211 J1307 J2598 J7301 J9281 Q5143
90713 A9608 J0256 J1414 J2787 J7307 J9292 Q5144
90714 A9615 J0290 J1430 J2793 J7318 J9329 Q5145
90717 B4149 J0330 J1552 J2802 J7328 J9334 Q5146
A2001 B4150 J0601 J1558 J2805 J7352 J9348 S0132
A2013 B4153 J0602 J1561 J3010 J7514 Q0155 S0138
A2022 B4154 J0603 J1599 J3246 J7520 Q0164 S0156
A2023 B4155 J0605 J1627 J3316 J7601 Q2054 S0183
A4215 B4158 J0607 J1628 J3392 J7613 Q2055 S1091
A4245 B4160 J0608 J1790 J3411 J8522 Q4341 S4993
A4253 B4162 J0609 J1830 J7186 J8612 Q4346
A4256 C9088 J0615 J1953 J7193 J9000 Q4348
A7005 C9145 J0630 J2060 J7194 J9026 Q4349
A9512 C9173 J0666 J2249 J7197 J9028 Q4350
A9548 G0532 J0780 J2251 J7208 J9041 Q4351

ReimbursementCodes was designed for organizations like yours to manage pricing, coding and clinical challenges related to specialty drugs. To gain access to this tool and view the rest of the insights we captured this month, visit our site or contact marketing@mmitnetwork.com.

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© 2025 MMIT
RJ Health Clinical Team

RJ Health Clinical Team

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