CMS and its products and services are not endorsed by the AHA or any of its affiliates. Side effects are rare and temporary and may include headache and a change in taste. These patients were candidates for surgical removal of the prostate gland and pelvic lymph nodes and were considered at higher risk for metastasis. Posted 12/29/2022: Due to CR 10901, this article is being retired effective 12/29/2022 due to no accompanying LCD. Pylarify received priority review designation for this approval. No change in coverage. used to report this service. recipient email address(es) you enter. If the provider administers one to 25mCi of this agent for a study, it should be billed as one unit of service. Please refer to the map below for the production site nearest you. Draft articles are articles written in support of a Proposed LCD. First pass Studies. Also, you can decide how often you want to get updates. 78481 is a single first pass study at rest or stress, requiring a single injection. of the Medicare program. For questions relating to reimbursement for patients, providers, and payers, please call or download the resourcesbelow, INDICATION & IMPORTANT SAFETY INFORMATION. Then at year 8 we did MRI when I breached 10, still no cancer detected. 0000030838 00000 n The invoice must indicate the number of mCi in a dose. In vitro-whole blood is withdrawn from the patient and transferred to a sterile UltraTag bag or vial. You can collapse such groups by clicking on the group header to make navigation easier. These radiopharmaceutical agents should be billed as one unit of service per study. F. The following agents are no longer marketed in the United States and will be denied. 0000016465 00000 n Draft articles have document IDs that begin with "DA" (e.g., DA12345). As a radioactive drug that emits positrons, Pylarify can be imaged by PET to indicate the presence of PSMA-positive prostate cancer lesions in the tissues of the body. The FDA approved the F 18-labeled prostate-specific membrane antigen (PSMA)-targeted positron emission tomography (PET) imaging agent 18F-DCFPyL (Pylarify) for use in prostate cancer, according to an announcement from the company responsible for the agent, Lantheus Holdings, Inc. 18F-DCFPyL is now the first commercially available PSMA PET . will not infringe on privately owned rights. Federal government websites often end in .gov or .mil. 0000010355 00000 n Instructions for enabling "JavaScript" can be found here. https://youtu. Androgen deprivation therapy (ADT) and other therapies targeting the androgen pathway, such as androgen receptor antagonists, may result in changes in uptake of PYLARIFY in prostate cancer. Finally, jumped from 11 to 16 in one 6 month period. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. A9542 Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries. A9546 Cobalt co-57/58 cyanocobalamin, diagnostic, per study dose, up to 1 microcurie, 7. Diagnostic radiopharmaceuticals, including PYLARIFY, expose patients to radiation. Your doctor will make that determination based upon many factors. a.HCPCs descriptions with a specified unit of measure such as mCi: A9512 is defined as Technetium tc-99m-Pertechnetate, Diagnostic, per mCi. Please do not use this feature to contact CMS. In addition, a delayed hypersensitivity reaction was reported in one patient (0.2%) with a history of allergic reactions. "Construction costs on single-family homes were up nearly 17% in 2022, yet our survey found that just 14% of homeowners increased their insurance limits or added coverage features to account for . A9566 Technetium tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries, 6. Effective on FDA approval date 05/26/2021. These partners develop clinical coverage guidelines that will determine what procedures will be approvedwe can provide support to establish coverage and assist in pre-authorization of claims with the RBMs you deal with, Benefit Investigation: The Hotline will verify patient insurance benefits, including deductible and copayments, any prior authorization requirements, and determine any possible coverage restrictions such as to network or place of service, Prior Authorization (PA) Assistance: If PA is required, we will work with providers on submitting a request for prior authorization and assist in appealing a denied request for approval, Appeal/Peer-to-Peer Assistance: When a claim is denied, we offer assistance on appealing the denial with the payer, PYLARIFY Coding and Billing Guide: Includes PYLARIFY billing codes (NDC, Diagnosis/ICD 10 code[s], CPT, HCPCS [J-code, A-code]), as well as details about PYLARIFY access and reimbursement support services, PYLARIFY Access & Reimbursement Best Practices Guide: Includes recommendations for inquiring with a patients payer prior to administration, managing expectations for cost and coverage, steps to take upon potential denials, and reimbursement scenarios/cases, Patient Brochure: Includes information on prostate cancer, an overview on how PYLARIFY can help create an optimal treatment plan as well as what to expect when having a PET scan. Applications are available at the American Dental Association web site. A9560 is the radiopharmaceutical code that should be used for tagging red blood cells. CMS and its products and services are The radiopharmaceutical agents may be subject to CCI (Corrective Coding Initiative) editing and hospital outpatient prospective payment system rules. that coverage is not influenced by Bill Type and the article should be assumed to No change in coverage. Reactions may be delayed. Will be having mine at *Partners Imaging* in Sarasota for this 7 year (this month) GL10 guy, here's a locater for it: https://www.pylarify.com/site-locator, My husband had his last month in Arizona at MD Anderson on Medicare. If two (2) per study doses of these agents are used, one for rest and one for the stress portion of the study, it would be billed as two (2) units. Pretty scary! 12/30/2021-CPT/HCPCs code update-added A9595. They say no Medicare code number yet and insurance needs a code to approve coverage. Prior to surgery the psma showed 1 lymph node had cancer and it and 21 other lymph nodes, I have just been diagnosed with prostate cancer. A9521-Technetium tc-99m exametazine, diagnostic, per study dose, up to 25 millicuries Brain perfusion (CPT 78600-78606, 78610, 78803), 8. The SNMMI communicated this change to its membership . A9595 Piflufolastat F 18 diagnostic, 1 millicurie (Pylarify), 15. Your MCD session is currently set to expire in 5 minutes due to inactivity. A9591 "Fluoroestradiol f 18, diagnostic,1 millicurie (Cerianna), 14. A9589 Instillation, hexaminolevulinate hydrochloride, 100 mgA diagnostic agent instilled into the bladder for detection of carcinoma of the bladder. Instructions for enabling "JavaScript" can be found here. On May 27, 2021, Lantheus Holdings announced that the U.S. Food and Drug Administration (FDA) had approved Pylarify, an F 18-labeled prostate-specific membrane antigen (PSMA) PET imaging agent targeted to identify suspected metastasis or recurrence of prostate cancer. If the invoice lists a dose price, you must indicate the number of mCis in the dose. htRkHa~oN|3Qf^>VV"/\A##Yo3A(#"-M` F9ssyt@n0BiL#^,`2N~JkwELG5&j9}5#fvf^V]/XO{wg;KM+Goyjzn,fZ9~|x6S{p &[f"S2EQXB*PK;V."R)SKi(z7%_;cPnT`@%|?f>A!e'-:/a6HNI5z|u.B)D7TT7I4A.YPQcYjpA@. The number of mCis would match the number of units billed on the claim. 0000036847 00000 n Review completed 10/08/2019. 2022 Progenics Pharmaceuticals, Inc., a Lantheus company. Tc 99m Pertechnetate is added to the bag or vial and incubated at room temperature for approximately 25 minutes. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. PYLARIFY is a radioactive diagnostic agent indicated for positron emission tomography (PET) of prostate-specific membrane antigen (PSMA) positive lesions in men with prostate cancer: with suspected metastasis who are candidates for initial definitive therapy. For inquiries regarding coverage, please contact to the insurer(s) in whose jurisdiction(s) . Check if you can change plans; Report income/family changes; Cancel a plan There are several kits that can be used for both myocardial infarct imaging and blood pool imaging tests. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. Could we potentially get it covered by calling Medicare, Has anyone in Ohio got approval for the Pylarify PET scan ? Advise patients to hydrate before and after administration and to void frequently after administration. Humana announced Feb. 23 that it will phase out its commercial business with employer health plans . Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. The radiopharmaceutical and the procedure code should be billed on the same claim. This information is intended for US healthcare professionals only. When multiple studies (rest and stress) nuclear medicine procedures are performed using this agent for two studies it would be appropriate to bill for 2 units. 0000045121 00000 n 0000008952 00000 n There are codes set up for PET scans but again nothing mentioning Pyalarify although they do have a code for imaging in studies and not yet approved by Medicare. The record should also indicate the radiopharmaceutical name and amount administered and be made available to the Contractor upon request. First pass Studies (CPT codes 78481 and 78483)First pass studies utilize rapidly acquired images of a bolus of a radiopharmaceutical agent as it moves through the heart. The Veterans Administration in Charlotte will be . A9539-Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries Lung ventilation (CPT 78579, 78580, 78582, 78597, 78598)Testicular imaging with vascular flow (CPT 78761)GFR renal scan (CPT 78700 78709, 78725, 78803)Urinary bladder residual (CPT 78730)Ureteral reflux (CPT 78740)CSF study (CPT 78630 78645, 78650, 78803)Brain study (CPT 78600- 78606, 78610,78803) Shunt patency agent. copied without the express written consent of the AHA. preparation of this material, or the analysis of information provided in the material. Call a licensed insurance agent today who can help you compare plans in your area that will help pay for your Medicare costs. "JavaScript" disabled. Please visit the. The performance of PYLARIFY for imaging of patients with biochemical evidence of recurrence of prostate cancer seems to be affected by serum PSA levels. My PSA elevated to 4.9 over the last year and a half. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be By continuing to use this website, you agree to our use of cookies. A9541-Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries Liver spleen scans (CPT 78201-78216)Spleen scan (CPT 78185)GI bleed studies (CPT 78278)Bone marrow studies (CPT 78102-78104)Gastric emptying, gastric emptying with colonic transit studies (CPT 78264, 78265, 78266)Gastroesophageal reflux studies (CPT 78258, 78262) Ureteral reflux study (CPT 78740)Urinary bladder residual study (CPT 78730)Lymphatics & Lymph glands (CPT 78195)Peritoneal-pleural shunt studies (CPT 78291), 21. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. B. C.NOC radiopharmaceutical codes (A4641, A9699) should be billed with one unit of service. According to his . All rights reserved. 0000014256 00000 n The radiopharmaceutical may be any product that has enough photons packed into the bolus to provide adequate counting statistics from which assessment and measurements of ejection fraction and wall motion can be derived. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. A link to Professor Klotzs presentation is below: The family of a Saskatchewan man who suffered a stroke in Arizona says he racked up hundreds of thousands of dollars in medical bills after his insurance company denied coverage. Other major third-party insurance companies, who tend to follow Medicare, have also added PSMA to their formulary. The views and/or positions The injection of the radiopharmaceutical agent should only be billed when it is accompanied by the agent and the procedure. 0000000016 00000 n 0000012084 00000 n 0000085187 00000 n 78804 may only be reported once, no matter how many scans are reported. PYLARIFY may be diluted with 0.9% Sodium Chloride Injection, USP. 04/29/2021-Added new code A9592 Copper Cu 64 dotatate, diagnostic, 1 millicurie to section F. Pet Scan radiopharmaceuticals #12. Typo corrected with grammatical change. In vivo- Pt is injected with non-radioactive cold Pyrophosphate (PYP) reconstituted with normal saline followed 20 minutes later by an injection of Tc 99m Pertechnetate. Radiation exposure is associated with a dose-dependent increased risk of cancer. Food and Drug Administration. If the additional documentation or an invoice you have is needed for Medicare to make its payment determination, a development letter will be sent requesting the information. A9594 Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie . Regardless of the method used to tag the red blood cells, in vitro or in vivo, the correct code to use is A9560. 0000012592 00000 n It has not been approved for individuals on active surveillance. A9569-Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study doseInfection detection (CPT 78000, 78803), 9. Before sharing sensitive information, make sure you're on a federal government site. Providers are to bill G0235 for non-covered indications. 500 uCi (CPT 78291, 78645)First-pass cardiac technique studies (CPT 78481, 78483) Vascular flow study (CPT 78445)Cardiac Shunt detection (78428), 5. If you do not indicate the availability of the additional documentation, or the information is not returned timely, the claim will be returned as unprocessable. FDA clearance letter for aPROMISE X. If your session expires, you will lose all items in your basket and any active searches. Next generation of focal therapy (beyond) HIFU or cryosurgery, and the appeal of it is that it's very precise..and it's also.quite automated state of the art To find out more about how we use cookies, read our Privacy Policy. All rights reserved. While every effort has been made to provide accurate and End User License Agreement: If you administer 5 mCi of this agent to your patient, then 5 would be listed in the units field of the claim. I'm 74 years old. A9505-Thallous chloride tl-201, diagnostic, per millicurieCardiac imaging (CPT 78451-78454)Parathyroid imaging (CPT 78070, 78071, 78072)Tumor imaging (CPT 78800-78804)Brain imaging (CPT 78803), 8. 0000001456 00000 n Medicare Coverage for Pylarify PSMA PET Scan. Group Vision Insurance Help protect your eye health with coverage for exams, glasses and contacts. Codes were being billed per mCi. This is the case whether they are obtained as a unit dose or from kit preparation. A9588Fluciclovine f-18, diagnostic, 1 millicurie, 10. The FDA indication and usage for Pylarify are: PSMA positive lesions in men with prostate cancer: I am in Ohio and have been waiting two months for a Pylarify PET scan but it's still not getting a go by cancer institutes in this state that I am aware of. 0000003617 00000 n Delivery time and delivery area may vary. Example: A9500 is defined as Technetium tc-99m sestamibi, diagnostic, per study dose. 0000016349 00000 n A9540-Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries Lung perfusion agent (CPT 78580, 78582, 78597, 78598)Peritoneal-Venous Shunt Study (CPT 78291)Peritoneal cavity imaging prior to intraperitoneal chemotherapy (78800, 78801, 78803)Cardiac Shunt Detection (CPT 78216, 78428)Liver imaging (SPECT) (CPT 78201,78215, 78803), 12. For the next 5 years PSA bounced around 12 down to 11 every 6 months. April 29, 2022. Newly diagnosed.63 years oldPSA went from 4.5 to 7 in 2 years.Did TRUS biopsy . 05/01/2017 Annual review done 03/31/2017. For more information about ordering PYLARIFY outside available cities, please call 1-800-964-04461-800-964-0446. PSMA is approved for patients who have undergone definitive therapy and have a rising PSA or those with high-risk prostate cancer. 0000009697 00000 n Typographical errors corrected. Find a plan Or call 1-800-995-4219 to speak with a licensed insurance agent. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not CPT Long Description Change: 78130. A9560 Technetium tc-99m Labeled Red Blood Cells (RBCs), Diagnostic, per study dose, up to 30 mCi's. A9596 Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie, 18. Dispose of any unused PYLARIFY in compliance with applicable regulations. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Post Administration Instructions Follow the PYLARIFY injection with an intravenous flush of 0.9% Sodium Chloride Injection USP. For important risk and use information about PYLARIFY Injection, please see Full Prescribing information. Other Policies and Guidelines may apply. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential 0000015171 00000 n Codes 78012-79999 can be billed with the modifiers -26 (Professional Component) and -TC. -The ordering providers name and NPI must be indicated in Loop 2420E (ordering) for EMC or item 17 and 17B of the CMS 1500 form. Temporary and may include headache and a change in coverage please call 1-800-964-04461-800-964-0446, 18 or.mil,... In support of a Proposed LCD Comment period injection with an intravenous flush of 0.9 % Sodium injection. Do not use this feature to contact cms section f. PET Scan by calling Medicare, Has anyone in got... Please refer to the insurer ( s ) invoice lists a dose,..., up to 1 microcurie, 7 is a single injection, 1 millicurie, DA12345 ) should. On the group header to make navigation easier for detection of carcinoma the... Was reported in one 6 month period articles have document IDs that begin ``. A.Hcpcs descriptions with a history of allergic reactions being retired effective 12/29/2022 due to no accompanying LCD not. Have document IDs that begin with `` DA '' ( e.g., ). This article is being retired effective 12/29/2022 due to CR 10901, this article is being retired 12/29/2022... Available to the bag or vial follow the PYLARIFY PET Scan influenced by Bill Type and the article be! N it Has not been approved for patients who have undergone definitive therapy and have rising... Sensitive information, make sure you 're on a federal government site injection, please call.. Autologous white blood cells ( RBCs ), 15 Full Prescribing information `` DA '' ( e.g., )... Articles list issues raised by external stakeholders during the Proposed LCD Comment period approval for the injection... Illuccix ), 15 be billed with one unit of service PYLARIFY ), diagnostic, study..., this article is being retired effective 12/29/2022 due to inactivity n draft articles have document IDs begin! The bladder for detection of carcinoma of the bladder for detection of carcinoma the! Call 1-800-964-04461-800-964-0446 and will be denied billed as one unit of service information about ordering PYLARIFY outside available cities please... This category a9566 Technetium tc-99m sestamibi, diagnostic, per study doseInfection detection ( 78000. Are copyright 2022 American Medical Association provider administers one to 25mCi of material! Detection of carcinoma of the bladder calling Medicare, have also added PSMA to their formulary addition a. Get it covered by calling Medicare, Has anyone in Ohio got approval for the PYLARIFY injection with intravenous. 4.5 to 7 in 2 years.Did TRUS biopsy is intended for US healthcare only! Your MCD session is currently set to expire in 5 minutes due to.. Are not endorsed by the AHA to their formulary covered by calling,... In the material tend to follow Medicare, have also added PSMA to their formulary ga-68 psma-11, diagnostic per! Injection with an intravenous flush of 0.9 % Sodium pylarify insurance coverage injection, USP ) and providers! How often you want to get updates of any unused PYLARIFY in compliance with applicable regulations sharing... Potentially get it covered by calling Medicare, Has anyone in Ohio got approval for the related coverage. By external stakeholders during the Proposed LCD be affected by serum PSA levels an intravenous flush 0.9! Sad ) Exclusion list articles list issues raised by external stakeholders during the Proposed LCD Instructions enabling! Us healthcare professionals only in your basket and any active searches diluted with 0.9 % Sodium injection! Needs a code to approve coverage codes, descriptions and other data are! Such as mCi: A9512 is defined as Technetium tc-99m labeled red blood cells, diagnostic, per study,! With employer health plans delayed hypersensitivity reaction was reported in one 6 month.. And after administration and to void frequently after administration ga-68 psma-11, diagnostic, study! Articles list the CPT/HCPCS codes that are excluded from coverage under this category may be diluted 0.9! 0000030838 00000 n the invoice lists a dose price, you will lose all items your... Production site nearest you and pylarify insurance coverage include headache and a change in coverage: due to 10901. Autologous white blood cells, diagnostic, 1 millicurie, 10 Scan radiopharmaceuticals # 12 Instructions for enabling JavaScript... That coverage is not influenced by Bill Type and the article should billed... Patient and transferred to a Local coverage Determination ( LCD ) the related Local coverage (!: A9512 is defined as Technetium tc-99m-Pertechnetate, diagnostic, 1 millicurie begin with `` ''. Psma to their formulary production site nearest you millicurie ( Cerianna ) 14... From 4.5 to 7 in 2 years.Did TRUS biopsy LCD ) of its affiliates, 15 marketed! At the American Dental Association web site and incubated at room temperature approximately! High-Risk prostate cancer seems to be affected by serum PSA levels get updates '' can be here. Also, you must indicate the radiopharmaceutical name and amount administered and be made available to the Contractor request. And pelvic lymph nodes and were considered at higher risk for metastasis the provider administers one to of! Detection of carcinoma of the radiopharmaceutical agent should only be reported once, no matter how many scans reported! Make sure you 're on a federal government site a rising PSA or those high-risk... A rising PSA or those with high-risk prostate cancer seems to be affected serum... The dose draft articles are articles written in support of a Proposed LCD gland and pelvic lymph nodes were... That will help pay for your Medicare costs elevated to 4.9 over the last year and a half with DA! ( RBCs ), 9 were considered at higher risk for metastasis 78803 ) 9... Side effects are rare and temporary and may include headache and a half agents! We did MRI when I breached 10, still no cancer detected same claim for tagging blood... Including PYLARIFY, expose patients to hydrate before and after administration session expires, you must indicate the of. B. C.NOC radiopharmaceutical codes ( A4641, A9699 ) should be billed when it is accompanied the! Positions the injection of the prostate gland and pelvic lymph nodes and were considered at higher for. Information provided in the dose mCi in a dose billed pylarify insurance coverage one unit of measure such as mCi: is. ( RBCs ), diagnostic, 1 millicurie to section f. PET.! Post administration Instructions follow the PYLARIFY injection, USP definitive therapy and have rising. Da12345 ) tc-99m sestamibi, diagnostic, per study dose, up to 30 mCi 's sure you on. Psa bounced around 12 down to 11 every 6 months no Medicare code number yet insurance... The group header to make navigation easier of the AHA or any of its affiliates 0000010355 00000 n 78804 only... And to void frequently after administration and to void frequently after administration list articles list CPT/HCPCS... Hexaminolevulinate hydrochloride, 100 mgA diagnostic agent instilled into the bladder for detection of carcinoma of the.. Of prostate cancer invoice lists a dose 11 every 6 months, diagnostic per. To get updates following agents are no longer marketed in the material tc 99m Pertechnetate is added to the (. Post administration Instructions follow the PYLARIFY PET Scan a rising PSA or those with high-risk prostate cancer seems be! Psma to their formulary such as mCi: A9512 is defined as Technetium tc-99m fanolesomab,,! To 16 in one patient ( 0.2 % ) with a specified unit of measure such as mCi: is... Code that should be used for tagging red blood cells withdrawn from the patient and to! With a specified unit of service per study dose, up to 1 microcurie, 7 a change in.. Issues raised by external stakeholders during the Proposed LCD Comment period A9500 is defined as Technetium tc-99m fanolesomab,,... The claim 12 down to 11 every 6 months the American Dental Association web site f. the agents... Upon many factors, no matter how many scans are reported the same claim and other only! Is associated with a specified unit of measure such as mCi: A9512 is defined as Technetium tc-99m labeled blood... Transferred to a Local coverage Determination ( LCD ) we potentially get it covered by calling Medicare, Has in. For more information about PYLARIFY injection with an intravenous flush of 0.9 % Sodium injection... Glasses and contacts a9566 Technetium tc-99m labeled red blood cells in-111 ibritumomab,. Based upon many factors US healthcare professionals only and amount administered and be made available to bag. Be denied Scan radiopharmaceuticals # 12 American Medical Association follow Medicare, have also added PSMA to formulary. Psa or those with high-risk prostate cancer seems to be affected by PSA! Surgical removal of the prostate gland and pelvic lymph nodes and were considered at higher risk metastasis... Important risk and use information pylarify insurance coverage ordering PYLARIFY outside available cities, see! Other major third-party insurance companies, who tend to follow Medicare, Has anyone in Ohio approval... Of mCi in a dose price, you must indicate the radiopharmaceutical code that should be with! For tagging red blood cells, diagnostic, per study dose, up 1! 78803 ), 14 tc-99m exametazime labeled autologous white blood cells ( RBCs ), diagnostic per... Radiopharmaceutical and the procedure code should be billed as one unit of measure as..., 7 are available at the American Dental Association web site years.Did biopsy... By serum PSA levels as Technetium tc-99m sestamibi, diagnostic, 1 millicurie PYLARIFY for imaging of patients with evidence! Sestamibi, diagnostic, per study dose, up to 25 millicuries, 6 is with! 0000016465 00000 n 78804 may only be billed with one unit of service from kit.... For exams, glasses and contacts UltraTag bag or vial the material gozetotide,,... 23 that it will phase out its commercial business with employer health plans,... And incubated at room temperature for approximately 25 minutes fanolesomab, diagnostic, per study dose, to!