Table of content for "Loncastuximab-lpyl, 0.1 mg" (HCPCS C9084)
General information on the “C9084” code
HCPCS Code: C9084
Long Description: Injection, loncastuximab tesirine-lpyl, 0.1 mg
Short Description: Loncastuximab-lpyl, 0.1 mg
Original information is taken from C9084 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
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: 20211001
Code Effective Date: 20220401
Termination Date: 20220331
Action Code: N – No maintenance for this code