HCPCS C9028 Code. Inj. inotuzumab ozogamicin


Table of content for "Inj. inotuzumab ozogamicin" (HCPCS C9028)

General information on the “C9028” code

HCPCS Code: C9028
Long Description: Injection, inotuzumab ozogamicin, 0.1 mg
Short Description: Inj. inotuzumab ozogamicin

Original information is taken from C9028 page

Pricing indicators

Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information


Statute Number: 1833(t)
Cross Reference Code 1: J9229 ;

Coverage

Coverage: D – Special coverage instructions apply

Type of service


Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 9 – Other medical items or services
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20180101
Code Effective Date: 20190101
Termination Date: 20181231
Action Code: N – No maintenance for this code