Drugs and Biological Products With Average Total Allowed Charges Below the Applicable Threshold Pursuant to section 1847A(i)(2) of the Act, drugs and biological products, for which the average total allowed charges for such drug or biological under Part B for a year per individual who uses such drug or biological are below the applicable threshold, as determined by the Secretary, are excluded from the definition of Part B rebatable drugs
(B) Payment amount in the payment amount benchmark quarter, as specified in 427.302(d) if any inputs are restated within the reconciliation run-out period
2026 ICD-10-CM Diagnosis Code F17.210 Nicotine dependence, cigarettes, uncomplicated ICD-10-CM Code: F17.210 ICD-10 Code for: Nicotine dependence, cigarettes, uncomplicated Is Billable
(5) Notwithstanding paragraph (e)(4) of this section, for a Part B rebatable drug that is a selected drug (as defined in section 1192(c) of the Act) with respect to a price applicability period (as defined in section 1191(b)(2) of the Act), in the case such Part B rebatable drug is no longer considered to be a selected drug, the benchmark period CPI-U is the CPI-U for the July of the year preceding the last year during such price applicability period
As used in this subpart, the following definitions apply: 340B Program is the program under section 340B of the PHS Act
