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US · guidance

CMS Pub. 100-04, ch. 12, § 30.6.3

Payment for Immunosuppressive Therapy Management

activein force · 2026-08-25 – presentas-observed

B3-4820-4824

Physicians bill for management of immunosuppressive therapy using the office or subsequent

hospital visit codes that describe the services furnished. If the physician who is managing the

immunotherapy is also the transplant surgeon, he or she bills these visits with modifier “-24”

indicating that the visit during the global period is not related to the original procedure if the

physician also performed the transplant surgery and submits documentation that shows that the

visit is for immunosuppressive therapy.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
0a3dd13b16b5d891fe14eca1954b44a1fb346e5add3c796b6f7a165edab2660c
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