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Focus on Regulation

Preliminary Code Decisions Issued by CMS

On April 9, 2012, the Centers for Medicare and Medicaid Services issued preliminary decisions on requests for a Healthcare Common Procedure Coding System (HCPCS) code effective January 1, 2013 for drugs and biologicals.  The preliminary decisions are available via the CMS website.  These decisions will be discussed at a public meeting to be held at CMS headquarters in Baltimore on May 8, 2012.  After the public meeting, CMS will consider the additional information it obtained at that time and will release the 2013 code set in late October or early November of 2012. 

Code applicants may submit materials responding to the preliminary decision and indicate their desire to make a presentation at the public meeting, but must do so by April 24, 2012.  Additional preliminary code decisions for other types of products are expected to be issued by CMS in the next few days, so stay tuned!