US · guidance
CMS Pub. 100-04, ch. 13, § 30.1.2
Payment Level
Determine payment in the same manner as for a drug furnished incident to a physician’s service.
The payment methodology for LOCM for the period of January 1, 2005 through March 31, 2005 is made
in accordance with the established payment for calendar year 2004 using codes A4644-A4646.
Effective April 1, 2005, the method of payment for LOCM is the average sales price (ASP) plus six
percent in accordance with the standard methodology for drug pricing established by the Medicare
Modernization Act (MMA0 for other than hospital outpatient claims. Payments for the new Q codes can
be found in the respective quarterly Medicare Part B drug pricing files that are posted on the CMS Web
site.
History
(Rev. 627, Issued: 07-29-05, Effective: 01-01-05, Implementation: 10-31-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d5570cfbb0c7f840ea109ff9a7d596a799593c61fddd2561a694986a7901a7b5
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