Table of content for "Inj, tebentafusp-tebn, 1 mcg" (HCPCS C9095)
General information on the “C9095” code
HCPCS Code: C9095
Long Description: Inj, tebentafusp-tebn, 1 mcg
Short Description: Inj, tebentafusp-tebn, 1 mcg
Original information is taken from C9095 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: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 1 – Medical care
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20220701
Code Effective Date: 20221001
Termination Date: 20220930
Action Code: N – No maintenance for this code