Table of content for "Inj pantoprazole sodium, via" (HCPCS C9113)
General information on the “C9113” code
HCPCS Code: C9113
Long Description: Injection, pantoprazole sodium, per vial
Short Description: Inj pantoprazole sodium, via
Original information is taken from C9113 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): O1E – Other drugs
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20020101
Code Effective Date: 20240701
Termination Date: 20240630
Action Code: N – No maintenance for this code