HCPCS C9069 Code. Belantamab mafodontin-blmf


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