#-supreme-cart-code-table-3-2821{rows-data:[{"category":"1. Patient identification and eligibility","code":"Clinical Team","description":"Patient meets the label indication and performance-status criteria,and is documented as such before any payer conversation begins"},{"category":"2. Benefits investigation and coverage verification","code":"Access team","description":"Confirming the plan type (commercial,Medicare,Medicaid,MA),whether the product is a covered benefit,and the patient\u2019s out-of-pocket exposure"},{"category":"3. Prior authorization and medical necessity","code":"Access + MD","description":"A complete submission on the first pass includes prior lines of therapy,diagnostics,and label match,plus a tracked appeal route if denied"},{"category":"4. Payer agreement and terms confirmed","code":"Contracting","description":"Written agreement covering product and full episode. Single-case or outcomes-based,if no contract exists,in place before cells are delivered"},{"category":"5. Claim construction and charge capture","code":"Revenue cycle","description":"Capturing every episode component on the claim under the correct payment mechanism:product acquisition,apheresis,infusion,and toxicity care"}]}#-supreme-cart-payer-landscape-6-2821{items-data:[{"text":"<strong>Diagnosis Codes<\/strong> \u2014 Diagnosis coding must capture the indication,CAR-T complications,and comorbidities;CRS and ICANS now have graded ICD-10-CM codes."},{"text":"<strong>Procedure Codes<\/strong> \u2014 Each CAR T product has its own designated inpatient procedure codes used to report inpatient facility services associated with CAR T administration."},{"text":"<strong>Product Codes<\/strong> \u2014 Each FDA-approved CAR-T product has its own product code. Manufacturers can help guide you on the correct coding of these products."},{"text":"<strong>Patient status<\/strong> \u2014 Inpatient vs. outpatient status,set by the clinician\u2019s written order at each step,drives the code sets,claim requirements,and payment."},{"text":"<strong>Hospital Revenue Codes and CPT Category I Codes<\/strong> \u2014 Use of these codes depends on the site of care for CAR T administration. Some of these services are not separately payable but may be submitted for tracking purposes."},{"text":"<strong>Other Non-CAR T Related Codes<\/strong> \u2014 Could be applicable such as remote patient monitoring and caregiver training (for POS-11 sites)."}]}#-supreme-cart-playbook-navigation-8-2821{topics-data:[{"title":"Operations & Infrastructure","description":"Space,staffing,and workflows that actually fit","url":"/playbook/operations-and-infrastructure/","cta_text":"See what a program needs","accent":"pink"},{"title":"Contracting & Partnerships","description":"<p>Terms with manufacturers,payers and partners</p><p>Map the five steps of CAR-T reimbursement,from benefits checks and prior authorization to coding and claims. Learn how to engage payers early. Start here.</p>","url":"/playbook/contracting-and-partnerships/","cta_text":"Explore ","accent":"pink"},{"title":"Patient Selection & Support","description":"Identify,refer,and support eligible patients. ","url":"/playbook/patient-selection-and-support/","cta_text":"Explore ","accent":"pink"}]}