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Merz Pharmaceuticals Announces New Centers for Medicare and Medicaid Billing Q-Code for Xeomin® (incobotulinumtoxinA)
Date:3/30/2011

GREENSBORO, N.C., March 30, 2011 /PRNewswire/ -- Merz Pharmaceuticals, LLC announced today that the Centers for Medicare and Medicaid Services (CMS) has granted a unique Healthcare Common Procedure Coding System (HCPCS) billing code, Q2040, for Xeomin® (incobotulinumtoxinA).  Merz expects that this unique billing code, which will become effective on April 1, 2011, will help simplify the billing and reimbursement process for prescribers of XEOMIN.

The U.S. Food and Drug Administration (FDA) approved XEOMIN on July 30, 2010, for the treatment of adults with cervical dystonia (CD), to decrease the severity of abnormal head position and neck pain in both botulinum toxin-naive and previously treated patients, and blepharospasm in adults who have been previously treated with Botox® (onabotulinumtoxinA).

“Merz is pleased to report broad interest in XEOMIN at the provider level as well as strong reimbursement coverage by private and public payors,” said Jack Britts, President and CEO of Merz Pharmaceuticals, LLC.  “We are confident that the addition of this unique billing code will assist in streamlining billing and reimbursement for XEOMIN.”

As permanent national codes are issued annually, CMS awards Q-codes when it identifies a need to provide a unique code in order to reduce billing confusion before the next national update on January 1 of the following year.  Merz has applied for and anticipates receiving a permanent J-code for XEOMIN on January 2, 2012.

For providers and payors, utilizing a unique Q-code is in most circumstances administratively identical to billing under a permanent J-code. The availability of this unique code, Q2040, means that in most instances XEOMIN will no longer be billed under a miscellaneous code.  

“This is a significant milestone for the dystonia community and we are so pleased that CMS granted this product-specific code for XEOMIN,” sa
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SOURCE Merz Pharmaceuticals, LLC
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