Showing codes C9139 (Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.) — C9169 (Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram)
C9139 - Idelvion, 1 i.u.
Long description: Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.
Code added date: 20161001.
Code effective date: 20170101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9140 - Afstyla factor viii recomb
Long description: Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u.
Code added date: 20170101.
Code effective date: 20180101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9141 - Factor viii pegylated-aucl
Long description: Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl (jivi), 1 i.u.
Code added date: 20190401.
Code effective date: 20190701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9142 - Inj, alymsys, 10 mg
Long description: Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
Code added date: 20221001.
Code effective date: 20230101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9143 - Cocaine hcl nasal (numbrino)
Long description: Cocaine hydrochloride nasal solution (numbrino), 1 mg
Code added date: 20230101.
Code effective date: 20230101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9144 - Inj, bupivacaine (posimir)
Long description: Injection, bupivacaine (posimir), 1 mg
Code added date: 20230101.
Code effective date: 20230101.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9145 - Inj, aponvie, 1 mg
Long description: Injection, aprepitant, (aponvie), 1 mg
Code added date: 20230401.
Code effective date: 20230401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9146 - Inj, elahere, 1 mg
Long description: Injection, mirvetuximab soravtansine-gynx, 1 mg
Code added date: 20230401.
Code effective date: 20230701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9147 - Inj, tremelimumab-actl, 1 mg
Long description: Injection, tremelimumab-actl, 1 mg
Code added date: 20230401.
Code effective date: 20230701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9148 - Inj, teclistamab-cqyv, 0.5mg
Long description: Injection, teclistamab-cqyv, 0.5 mg
Code added date: 20230401.
Code effective date: 20230701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9149 - Inj, teplizumab-mzwv, 5 mcg
Long description: Injection, teplizumab-mzwv, 5 mcg
Code added date: 20230401.
Code effective date: 20230701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9150 - Xe129 xenon, diagnostic
Long description: Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
Code added date: 20230701.
Code effective date: 20241001.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9151 - Inj, pegcetacoplan 1 mg
Long description: Injection, pegcetacoplan, 1 mg
Code added date: 20230701.
Code effective date: 20231001.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9152 - Inj, abilify asimtufii, 1 mg
Long description: Injection, aripiprazole, (abilify asimtufii), 1 mg
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9153 - Inj, amisulpride, 1 mg
Long description: Injection, amisulpride, 1 mg
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9154 - Inj buprenorph (brixadi) 1mg
Long description: Injection, buprenorphine extended-release (brixadi), 1 mg
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9155 - Inj epcoritamab-bysp,0.16 mg
Long description: Injection, epcoritamab-bysp, 0.16 mg
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9156 - Flotufolastat f18, dia 1 mci
Long description: Flotufolastat f 18, diagnostic, 1 millicurie
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9157 - Inj, tofersen, 1 mg
Long description: Injection, tofersen, 1 mg
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9158 - Inj, uzedy, 1 mg
Long description: Injection, risperidone, (uzedy), 1 mg
Code added date: 20231001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9159 - Inj, balfaxar, per i.u
Long description: Injection, prothrombin complex concentrate (human), balfaxar, per i.u. of factor ix activity
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9160 - Inj daxibotulinumtoxina-lanm
Long description: Injection, daxibotulinumtoxina-lanm, 1 unit
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9161 - Inj, aflibercept hd, 1 mg
Long description: Injection, aflibercept hd, 1 mg
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9162 - Inj, avacincaptad peg 0.1 mg
Long description: Injection, avacincaptad pegol, 0.1 mg
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9163 - Inj talquetamab-tgvs 0.25 mg
Long description: Injection, talquetamab-tgvs, 0.25 mg
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9164 - Cantharidin top, applicator
Long description: Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9165 - Inj, elranatamab-bcmm, 1 mg
Long description: Injection, elranatamab-bcmm, 1 mg
Code added date: 20240101.
Code effective date: 20240401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9166 - Injection, secukinumab
Long description: Injection, secukinumab, intravenous, 1 mg
Code added date: 20240401.
Code effective date: 20240701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9167 - Inj, adzynma, 10 iu
Long description: Injection, adamts13, recombinant-krhn, 10 iu
Code added date: 20240401.
Code effective date: 20240701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9168 - Injection, mirikizumab-mrkz
Long description: Injection, mirikizumab-mrkz, 1 mg
Code added date: 20240401.
Code effective date: 20240701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9169 - Inj, nogapendekin pmln 1 mcg
Long description: Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram
Code added date: 20241001.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF