C9474
Injection, irinotecan liposome, 1 mg Short Description: Inj, irinotecan liposome Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2016 Effective …
HCPCS Code Section: HCPCS C Codes
C9458
Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries Short Description: Florbetaben f18 Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …
C9473
Injection, mepolizumab, 1 mg Short Description: Injection, mepolizumab Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2016 Effective Date: January …
C9472
Injection, talimogene laherparepvec, 1 million plaque forming units (pfu) Short Description: Inj talimogene laherparepvec Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …
C9471
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg Short Description: Hymovis, 1 mg Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …
C9470
Injection, aripiprazole lauroxil, 1 mg Short Description: Aripiprazole lauroxil im Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2016 Effective …
C9469
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg Short Description: Inj triamcinolone acetonide Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …
C9468
Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, rebinyn, 1 i.u. Short Description: Inj, factor ix, rebinyn Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …
C9467
Injection, rituximab and hyaluronidase, 10 mg Short Description: Inj rituximab hyaluronidase Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2018 …
C9466
Injection, benralizumab, 1 mg Short Description: Injection, benralizumab Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2018 Effective Date: January …