Services Identified as having Significant Cost for Medicare Advantage

66.2 – Services Identified as having Significant Cost for Medicare Advantage (Rev. 10229, Issued: 07-21-20 Effective: 10-01-20, Implementation: 10-05-20) Services Identified as having Significant cost under section 422.109(a)(2) of title 42 of the Code of Federal Regulations Providers may bill the A/B MAC for these NCD services provided to a MA beneficiary. Services Identified as having Significant cost Service/Benefit Revenue Code HCPCS ICD-10- PCS Procedure Significant Cost Start Significant Cost End CAR-T 0891 Q2041, Q2042 XW033C3 or XW043C3 08/07/2019 12/31/2020