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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 | May 2023

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 December edition of the Specialty Drug Reimbursement Newsletter, we identified 97 drug code price changes this month, with 34 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 3554 Reimbursement HCPCS/CPT® Codes in our system, we identified 97 Drug Codes that required a recalculation of their AWP Code Price.  Log in to www.ReimbursementCodes.com to view the pricing updates for these codes.  

90713 B4153 J0153 J1230 J2785 J7527 J9273 Q4114 S0187
A4213 B4155 J0291 J1439 J2786 J7611 J9297 Q4137  
A4232 B4158 J0330 J1448 J2850 J8510 J9304 Q4138  
A4253 B4159 J0360 J1453 J3010 J8530 J9305 Q4140  
A4256 C9352 J0515 J1626 J3145 J8700 Q0249 Q4164  
A4259 C9353 J0571 J1826 J3262 J9032 Q2004 Q4166  
A4455 C9356 J0583 J1940 J3285 J9050 Q2056 Q4191  
A6219 C9358 J0587 J1956 J3316 J9061 Q3027 Q4204  
A6220 C9360 J0775 J2060 J3489 J9177 Q4104 Q4268  
A6237 C9363 J0875 J2515 J7168 J9207 Q4105 S0020  
A6238 J0132 J1071 J2590 J7510 J9226 Q4108 S0092  
A6257 J0133 J1205 J2765 J7518 J9271 Q4110 S0172  

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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RJ Health Clinical Team

RJ Health Clinical Team

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