Table of content for "Inj cabotegravir/rilpivirine" (HCPCS C9077)
General information on the “C9077” code
HCPCS Code: C9077
Long Description: Injection, cabotegravir and rilpivirine, 2mg/3mg
Short Description: Inj cabotegravir/rilpivirine
Original information is taken from C9077 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
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
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: 20210701
Code Effective Date: 20211001
Termination Date: 20210930
Action Code: N – No maintenance for this code