Table of content for "Inj, adzynma, 10 iu" (HCPCS C9167)
General information on the “C9167” code
HCPCS Code: C9167
Long Description: Injection, adamts13, recombinant-krhn, 10 iu
Short Description: Inj, adzynma, 10 iu
Original information is taken from C9167 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: J7171 ;
Coverage
Coverage: D – Special coverage instructions apply
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: 20240401
Code Effective Date: 20240701
Termination Date: 20240630
Action Code: D – Discontinue procedure or modifier code