Table of content for "Factor viii pegylated-aucl" (HCPCS C9141)
General information on the “C9141” code
HCPCS Code: C9141
Long Description: Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl (jivi), 1 i.u.
Short Description: Factor viii pegylated-aucl
Original information is taken from C9141 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
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20190401
Code Effective Date: 20190701
Termination Date: 20190630
Action Code: N – No maintenance for this code