{"DID":"crit22e444","Sites":"JJA^JJB","Start Date":"05-14-2025 10:39","End Date":"05-16-2025 13:00","Content":"The Palmetto GBA Jurisdictions J Provider Contact Center (PCC) will be closed for staff training from 8 a.m. to 12 p.m. ET Friday, May 16, 2025. Please note the webchat feature will be unavailable at this time. However, during this closure, providers can use Sage, Palmetto GBA's chat self-service tool.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit25dbdc","Sites":"JJA^JJB","Start Date":"05-20-2025 10:36","End Date":"05-26-2025 17:00","Content":"The Palmetto GBA Jurisdiction J Provider Contact Center (PCC) will be closed Monday, May 26, 2025, in observance of the Memorial Day holiday. Please note the webchat feature will be unavailable on this date. However, during this closure, providers can use Sage, Palmetto GBA's chat self-service tool.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4b35ae","Sites":"JJB^JMB","Start Date":"07-26-2024 12:01","End Date":"07-30-2024 23:59","Content":"If you missed our Spring Tour, join us in Columbia, S.C. on July 30, to catch up on the most recent provider education from Palmetto GBA.","URL":"https://web.cvent.com/event/93f37ecc-9d69-4a33-b62b-cbd6232d9aff/summary","Target":"_blank","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit5ab3ce","Sites":"JJB","Start Date":"05-28-2024 00:00","End Date":"05-28-2024 23:27","Content":"Medicare Part B providers are invited to Palmetto GBA's MayFest virtual education event Thursday, May 30, 2024.","URL":"https://palmettogba.com/palmetto/jjb.nsf/DIDC/8DRB9MA2C9~Events%20and%20Education","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit5aba12","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"05-19-2025 09:47","End Date":"05-19-2025 14:00","Content":"Alert - eServices Claim status currently may be unavailable. We will remove this message once the issue is resolved.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit5b243c","Sites":"JJB","Start Date":"02-16-2024 13:05","End Date":"02-29-2024 08:18","Content":"Have a Medicare question and want to chat with a rep? JJ providers are invited to join us on webchat. Just select the green Chat Now button on the bottom right corner of screen! ","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit5ee5b3","Sites":"JJB","Start Date":"10-14-2024 08:08","End Date":"10-16-2024 18:00","Content":"Due to an unexpected delay in system cycle processing, payments to Part B providers dated October 15, 2024, may be delayed by no more than one day. We apologize for any inconvenience this may cause.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"no"}, {"DID":"crita3c1db","Sites":"JJB","Start Date":"10-28-2024 13:15","End Date":"11-12-2024 13:15","Content":"Registration is now open for the Autumn Run Education Tour.","URL":"/palmetto/jjb.nsf/DID/7CNDSGJ7KX","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critaeb5ae","Sites":"JJB","Start Date":"03-11-2024 10:47","End Date":"04-18-2024 09:47","Content":"Join us for Spring Tour 2024: Columbia, S.C. on April 2, 2024, Bessemer, Ala. on April 8, 2024, Cleveland, Tenn. on April 10, 2024, Decatur, Ga. on April 11, 2024, Charleston, W. Va. on April 16, 2024, and Richmond, Va. on April 18, 2024. ","URL":"https://palmettogba.com/palmetto/jjb.nsf/DID/SY9IONT0ZJ","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critb22ced","Sites":"JJB","Start Date":"11-06-2024 13:34","End Date":"11-06-2024 14:15","Content":"Palmetto GBA is currently experiencing longer than normal Medicare enrollment application processing times. We are actively working to return to our standard processing times, and we regret any inconvenience this may cause. To monitor the progress of your application, please use the Enrollment Application Status Lookup tool on our website.","URL":"https://www.palmettogba.com/internet/PCIDN.nsf/R?OpenAgent&DID=BBHQEN88&url=yes","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"critd332ba","Sites":"JJB^JMB","Start Date":"03-28-2025 10:48","End Date":"03-28-2025 12:05","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for staff training from 8 a.m. to 12 p.m. ET Friday, March 28, 2025.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crite15b33","Sites":"JJA^JJB","Start Date":"05-16-2025 13:00","End Date":"05-17-2025 08:00","Content":"Due to routine maintenance, Palmetto GBA Chat and Sage, the digital assistant, will not be available after 5:00 p.m., ET.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}

Invoices Must Be Submitted for Certain Drug and Biological Codes: July Through September 2022

Published 06/28/2022

The Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual Publication 100-04 Chapter 17 Drugs and Biologicals 20.1.3 Exceptions to Average Sales Price (ASP) Payment Methodology gives Medicare contractors discretion to use invoice or Wholesale Acquisition Cost (WAC) pricing when CMS does not provide a payment limit on the ASP file. The codes below require invoices at this time.

Note: CPT® codes and modifiers begin with a numeric character and HCPCS codes and modifiers begin with an alpha character.

Drug and Biological Codes
90284	A9544	J1130	Q4113	Q4190
90654	A9545	J1330	Q4114	Q4191
90655	A9546	J1435	Q4116	Q4193
90657	A9547	J1457	Q4117	Q4198
90660	A9548	J1890	Q4118	Q4200
90661	A9550	J1990	Q4125	Q4204
90669	A9551	J2180	Q4126	Q4209
90749	A9553	J2320	Q4128	Q4211
A4290	A9554	J2650	Q4130	Q4214
A4641	A9556	J2910	Q4132	Q4216
A4642	A9557	J2950	Q4134	Q4220
A4648	A9558	J3303	Q4135	Q4221
A4650	A9559	J3310	Q4136	Q4228
A9501	A9562	J3400	Q4138	Q4229
A9504	A9563	J3472	Q4140	Q4236
A9508	A9564	J7309	Q4142	Q4237
A9509	A9566	J7315	Q4143	Q4238
A9510	A9567	J9118	Q4146	Q4239
A9515	A9570	J9219	Q4147	Q4240
A9516	A9571	L7510	Q4149	Q4241
A9517	A9572	L8604	Q4150	Q4242
A9524	A9580	L8699	Q4157	Q4248
A9526	A9582	L9900	Q4161	Q4249
A9527	A9600	Q2028	Q4164	Q4250
A9529	A9604	Q2035	Q4165	Q4255
A9530	A9999	Q2039	Q4167	Q9953
A9531	C1822	Q3001	Q4175	Q9954
A9532	J0120	Q4100	Q4179	Q9962
A9536	J0400	Q4103	Q4182	Q9983
A9542	J0833	Q4107	Q4183	V2785
A9543	J0945	Q4108	Q4184

Please note that failure to submit an invoice, submitting unclear invoices, or submitting incomplete invoices could result in claim rejections.

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Invoices Must Be Submitted for Certain Drug and Biological Codes: July Through September 2022

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