HCPCS C9131 Code. In ado-trastuzumab emtansine


Table of content for "In ado-trastuzumab emtansine" (HCPCS C9131)

General information on the “C9131” code

HCPCS Code: C9131
Long Description: Injection, ado-trastuzumab emtansine, 1 mg
Short Description: In ado-trastuzumab emtansine

Original information is taken from C9131 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: J9354 ;

Coverage

Coverage: D – Special coverage instructions apply

Type of service


Berenson-Eggers Type of Service (BETOS): O1D – Chemotherapy
Type Of Service 1: 1 – Medical care

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20130701
Code Effective Date: 20140101
Termination Date: 20131231
Action Code: N – No maintenance for this code