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Annual Clotting Factor Furnishing Fee Update 2013


The Centers for Medicare & Medicaid Services (CMS) includes the clotting factor furnishing fee in the published national payment limits for clotting factor billing codes. When the national payment limit for a clotting factor is not included on the ASP Medicare Part B Drug Pricing File, or the NOC Pricing File; your carrier, FI, RHHI, or A/B MAC must make payment for the clotting factor as well as make payment for the furnishing fee.

The clotting factor furnishing fees applicable for dates of service in each Calendar Year (CY) are listed below:

Clotting Factor Furnishing Fee

CY 2005 $0.140 per unit
CY 2006 $0.146 per unit
CY 2007 $0.152 per unit
CY 2008 $0.158 per unit
CY 2009 $0.164 per unit
CY 2010 $0.170 per unit
CY 2011 $0.176 per unit
CY 2012 $0.181 per unit
CY 2013 $0.188 per unit

Reference: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/mm8049.pdf


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