HCPCS C9175 Code. Inj, treosulfan, 50 mg


Table of content for "Inj, treosulfan, 50 mg" (HCPCS C9175)

General information on the “C9175” code

HCPCS Code: C9175
Long Description: Injection, treosulfan, 50 mg
Short Description: Inj, treosulfan, 50 mg

Original information is taken from C9175 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)

Coverage

Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20250701

Type of service


Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20250701
Code Effective Date: 20250701
Action Code: A – Add procedure or modifier code