On February 11, the US Food and Drug Administration (FDA) authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients when all of these apply:

  • They have a positive COVID-19 test result
  • They’re at high-risk for progression to severe COVID-19
  • Alternative COVID-19 treatment options approved or authorized by the FDA aren’t accessible or clinically appropriate for them

The Centers for Medicare & Medicaid Services (CMS) created new codes, effective February 11:

  • Q0222: Injection, bebtelovimab, 175 mg
  • M0222: Intravenous injection, bebtelovimab, includes injection and post administration monitoring
  • M0223: Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the Covid-19 public health emergency

Source: U.S. Centers for Medicare & Medicaid Services (CMS)

 

About 3Gen

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If you’re interested in finding the right medical billing and coding services partner, contact us today.

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