Table of content for "Injection, teprotumumab-trbw" (HCPCS C9061)
    
    
    
    
General information on the “C9061” code
    
        HCPCS Code: C9061
        
Long Description: Injection, teprotumumab-trbw, 10 mg
            
Short Description: Injection, teprotumumab-trbw
   
   Original information is taken from C9061 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: J3241  ;
        
        
        
        
        
 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: 20200701
        
        
            
Code Effective Date: 20201001
        
        
            
Termination Date: 20200930
        
        
            
Action Code: N – No maintenance for this code