Table of content for "Sirolimus, protein-bound,1mg" (HCPCS C9091)
General information on the “C9091” code
HCPCS Code: C9091
Long Description: Injection, sirolimus protein-bound particles, 1 mg
Short Description: Sirolimus, protein-bound,1mg
Original information is taken from C9091 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): O1D – Chemotherapy
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20220401
Code Effective Date: 20220701
Termination Date: 20220630
Action Code: N – No maintenance for this code