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US · guidance

CMS Pub. 100-04, ch. 32, § 66.2

Services Identified as having Significant Cost for Medicare Advantage

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

Services Identified as having Significant cost under section 422.109(a)(2) of title 42 of the Code of Federal

Regulations Providers may bill the A/B MAC for these NCD services provided to a MA beneficiary.

Services Identified as having Significant cost

Service/Benefit Revenue

Code

HCPCS ICD-10-

PCS

Procedure

Significant

Cost Start

Significant

Cost End

CAR-T 0891 Q2041,

Q2042

XW033C3

or

XW043C3

08/07/2019 12/31/2020

History

(Rev. 10229, Issued: 07-21-20 Effective: 10-01-20, Implementation: 10-05-20)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
5cb1af05ce9aecfcb76027f733c1d28af0f035d77e31dcce6a64210b95affa33
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