Table of content for "Inj, polatuzumab vedotin 1mg" (HCPCS J9309)
General information on the “J9309” code
HCPCS Code: J9309
Long Description: Injection, polatuzumab vedotin-piiq, 1 mg
Short Description: Inj, polatuzumab vedotin 1mg
Original information is taken from J9309 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
ASC Payment Group: YY
ASC Payment Group Effective Date: 20200101
Type of service
Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 1 – Medical care
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20200101
Code Effective Date: 20200101
Action Code: N – No maintenance for this code