Showing codes C9444 (Injection, oritavancin, 10 mg) — C9474 (Injection, irinotecan liposome, 1 mg)

C9444 - Injection, oritavancin
Long description: Injection, oritavancin, 10 mg
Code added date: 20150101.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9445 - C-1 esterase, ruconest
Long description: Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units
Code added date: 20150401.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9446 - Inj, tedizolid phosphate
Long description: Injection, tedizolid phosphate, 1 mg
Code added date: 20150101.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9447 - Inj, phenylephrine ketorolac
Long description: Injection, phenylephrine and ketorolac, 4 ml vial
Code added date: 20150101.
Code effective date: 20191001.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9448 - Oral netupitant palonosetron
Long description: Netupitant 300 mg and palonosetron 0.5 mg, oral
Code added date: 20150401.
Code effective date: 20150701.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9449 - Inj, blinatumomab
Long description: Injection, blinatumomab, 1 mcg
Code added date: 20150401.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9450 - Fluocinolone acetonide implt
Long description: Injection, fluocinolone acetonide intravitreal implant, 0.01 mg
Code added date: 20150401.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9451 - Injection, peramivir
Long description: Injection, peramivir, 1 mg
Code added date: 20150401.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9452 - Inj, ceftolozane/tazobactam
Long description: Injection, ceftolozane 50 mg and tazobactam 25 mg
Code added date: 20150401.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9453 - Injection, nivolumab
Long description: Injection, nivolumab, 1 mg
Code added date: 20150701.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9454 - Inj, pasireotide long acting
Long description: Injection, pasireotide long acting, 1 mg
Code added date: 20150701.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9455 - Injection, siltuximab
Long description: Injection, siltuximab, 10 mg
Code added date: 20150701.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9456 - Inj, isavuconazonium sulfate
Long description: Injection, isavuconazonium sulfate, 1 mg
Code added date: 20151001.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9457 - Lumason contrast agent
Long description: Injection, sulfur hexafluoride lipid microsphere, per ml
Code added date: 20151001.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9458 - Florbetaben f18
Long description: Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
Code added date: 20160101.
Code effective date: 20160701.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9459 - Flutemetamol f18
Long description: Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
Code added date: 20160101.
Code effective date: 20160701.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9460 - Injection, cangrelor
Long description: Injection, cangrelor, 1 mg
Code added date: 20160101.
Code effective date: 20160101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9461 - Choline c 11, diagnostic
Long description: Choline c 11, diagnostic, per study dose
Code added date: 20160401.
Code effective date: 20170101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9462 - Injection, delafloxacin
Long description: Injection, delafloxacin, 1 mg
Code added date: 20180401.
Code effective date: 20220101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9463 - Injection, aprepitant
Long description: Injection, aprepitant, 1 mg
Code added date: 20180401.
Code effective date: 20190101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9464 - Injection, rolapitant
Long description: Injection, rolapitant, 0.5 mg
Code added date: 20180401.
Code effective date: 20190101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9465 - Injection, durolane
Long description: Hyaluronan or derivative, durolane, for intra-articular injection, per dose
Code added date: 20180401.
Code effective date: 20190101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9466 - Injection, benralizumab
Long description: Injection, benralizumab, 1 mg
Code added date: 20180401.
Code effective date: 20190101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9467 - Inj rituximab hyaluronidase
Long description: Injection, rituximab and hyaluronidase, 10 mg
Code added date: 20180401.
Code effective date: 20190101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9468 - Inj, factor ix, rebinyn
Long description: Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, rebinyn, 1 i.u.
Code added date: 20180401.
Code effective date: 20190101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9469 - Inj triamcinolone acetonide
Long description: Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Code added date: 20180401.
Code effective date: 20180701.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9470 - Aripiprazole lauroxil im
Long description: Injection, aripiprazole lauroxil, 1 mg
Code added date: 20160401.
Code effective date: 20170101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9471 - Hymovis, 1 mg
Long description: Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
Code added date: 20160401.
Code effective date: 20170101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9472 - Inj talimogene laherparepvec
Long description: Injection, talimogene laherparepvec, 1 million plaque forming units (pfu)
Code added date: 20160401.
Code effective date: 20170101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9473 - Injection, mepolizumab
Long description: Injection, mepolizumab, 1 mg
Code added date: 20160401.
Code effective date: 20170101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF

C9474 - Inj, irinotecan liposome
Long description: Injection, irinotecan liposome, 1 mg
Code added date: 20160401.
Code effective date: 20170101.
Pricing Indicator Code(s): 53 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML    PDF