Medicare Claims Processing Manual (Pub. 100-04), Ch. 8 § 60.2.2
Drug Payment Amounts for Facilities
60.2.2 - Drug Payment Amounts for Facilities
(Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21)
Effective for claims with dates of service on or after January 1, 2011 all drugs and
biologicals used in the treatment of ESRD are reimbursed under the ESRD PPS payment
amount. For more information, please refer to Chapter 11 Benefit Policy Manual, section
20.3 Drugs and Biologicals.