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Q&A From ASCO's Coding and Reimbursement Hotline

Infusion pumps are used in many different regimens to administer chemotherapy. This issue focuses on the coverage and coding of infusion pumps.

Question: Does Medicare have national coverage guidelines for infusion pumps?

Answer: Yes. The Centers for Medicare & Medicaid Services (CMS) has established national guidelines for the coverage of implanted and external (portable) infusion pumps. CMS' national coverage guidelines can be found in the National Coverage Determinations Manual, Chapter 1, Section 280.14 or at www.cms.hhs.gov/manuals/103_cov_determ/ncd103index.asp.

Medicare's national guidelines provide specific coverage policies for the use of implanted and portable infusion pumps. For example, implanted infusion pumps are covered . . . [Click for More]

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