Code Changes in National Coverage Decisions
Explore key 2025 NCD code updates, including new CPT, HCPCS, and ICD-10 codes for CAR-T, bariatric surgery, colorectal screening, and more. Effective April 21.
Roberta L. Buell is a Principal at onPoint Oncology Inc., specializing in oncology reimbursement. With over 23 years of experience in billing, coding, and drug therapy reimbursement, she's a nationally recognized expert and frequent speaker on regulatory and reimbursement issues. Bobbi has led more than 600 seminars since 1991 and currently serves as content director for focalPoint® and assistPoint®. Learn more about Bobbi here .
Explore key 2025 NCD code updates, including new CPT, HCPCS, and ICD-10 codes for CAR-T, bariatric surgery, colorectal screening, and more. Effective April 21.
Q2 2025 Hospital Outpatient drug updates: new pass-through HCPCS codes, deletions, status changes, and descriptor revisions effective April 1. Full list here.
Telehealth coding for 2025: Medicare keeps old rules, deletes audio-only codes, and adopts 98016. Learn which codes apply and how to handle commercial payer variance.
No Medicare doc fix in 2025, but telehealth and other flexibilities extended through Sept. 30. Key funding and policy provisions outlined in new appropriations law.
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The Comparative Report puts ASP, the Medicare payment limit, WAC and AWP for up to 15 drugs on one timeline. Ten-plus years of monthly history, per HCPCS unit.
Included with BuyandBill Pro for $37/month billed annually.
Trastuzumab class, seven products
Actual published ASP, Jan 2015 to Aug 2026.