HCPCS Code Section: HCPCS C Codes

C9461

Choline c 11, diagnostic, per study dose Short Description: Choline c 11, diagnostic Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April …

C9476

Injection, daratumumab, 10 mg Short Description: Injection, daratumumab Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: July 1, 2016 Effective Date: January …

C9460

Injection, cangrelor, 1 mg Short Description: Injection, cangrelor Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 2016 Effective Date: January …

C9475

Injection, necitumumab, 1 mg Short Description: Injection, necitumumab Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: April 1, 2016 Effective Date: January …

C9459

Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries Short Description: Flutemetamol f18 Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

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 …

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: …