Table of content for "Belantamab mafodontin-blmf" (HCPCS C9069)
General information on the “C9069” code
HCPCS Code: C9069
Long Description: Injection, belantamab mafodontin-blmf, 0.5 mg
Short Description: Belantamab mafodontin-blmf
Original information is taken from C9069 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: J9037 ;
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 9 – Other medical items or services
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20210101
Code Effective Date: 20210401
Termination Date: 20210331
Action Code: N – No maintenance for this code