HCPCS Code Section: HCPCS C Codes

C9040

Injection, fremanezumab-vfrm, 1mg Short Description: Injection, fremanezumab-vfrm Coverage Code: Special coverage instructions apply Action Code: Discontinue procedure or modifier code Date Added: April 1, 2019 Effective Date: October 1, …

C9039

Injection, plazomicin, 5 mg Short Description: Injection, plazomicin Coverage Code: Special coverage instructions apply Action Code: Discontinue procedure or modifier code Date Added: January 1, 2019 Effective Date: October …

C9038

Injection, mogamulizumab-kpkc, 1 mg Short Description: Inj mogamulizumab-kpkc Coverage Code: Special coverage instructions apply Action Code: Discontinue procedure or modifier code Date Added: January 1, 2019 Effective Date: October …

C9037

Injection, risperidone (perseris), 0.5 mg Short Description: Injection, risperidone Coverage Code: Special coverage instructions apply Action Code: Discontinue procedure or modifier code Date Added: January 1, 2019 Effective Date: …

C9036

Injection, patisiran, 0.1 mg Short Description: Injection, patisiran Coverage Code: Special coverage instructions apply Action Code: Discontinue procedure or modifier code Date Added: January 1, 2019 Effective Date: October …

C9035

Injection, aripiprazole lauroxil (aristada initio), 1 mg Short Description: Injection, aristada initio Coverage Code: Special coverage instructions apply Action Code: Discontinue procedure or modifier code Date Added: January 1, …

C9034

Injection, dexamethasone 9%, intraocular, 1 mcg Short Description: Injection, dexamethasone 9% Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: October 1, 2018 …

C9033

Injection, fosnetupitant 235 mg and palonosetron 0.25 mg Short Description: Inj, akynzeo Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: October 1, …

C9032

Injection, voretigene neparvovec-rzyl, 1 billion vector genome Short Description: Voretigene neparvovec-rzyl Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2018 …

C9047

Injection, caplacizumab-yhdp, 1 mg Short Description: Injection, caplacizumab-yhdp Coverage Code: Special coverage instructions apply Action Code: Add procedure or modifier code Date Added: July 1, 2019 Effective Date: July …