Comment: A commenter requested that CMS reassign CPT code 0515T to New Technology APC 1576Level 39 ($15,001-$20,000) to ensure that there is adequate payment for the non-device costs as this code is tentatively approved for pass-through payment (device costs)
This is helpful because it bypasses your digestive system, where B12 absorption often breaks down due to gut health issues or low stomach acid
Treats B12 Deficiency: Effectively brings vitamin B12 levels back up when they have dropped due to poor dietary intake or intestinal malabsorption
In contrast, the commenter pointed out that the overall cost of APC 5116 is $18,338, which very closely aligns with the cost of CPT code 20982
Cyanocobalamin injections are mostly given once a month once your B12 deficiency anemia has been treated to prevent a recurrence of symptoms that could lead to nerve damage
Changes to the Hospital OQR Program Measure Set In the CY 2026 OPPS/ASC proposed rule (90 FR 33757), we proposed to adopt the Emergency Care Access & Timeliness electronic clinical quality measure (eCQM) beginning, with voluntary reporting for the CY 2027 reporting period followed by mandatory reporting beginning with the CY 2028 reporting period/CY 2030 payment determination
