Table of content for "Inj, tremelimumab-actl, 1 mg" (HCPCS C9147)
General information on the “C9147” code
HCPCS Code: C9147
Long Description: Injection, tremelimumab-actl, 1 mg
Short Description: Inj, tremelimumab-actl, 1 mg
Original information is taken from C9147 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: 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: 20230401
Code Effective Date: 20230701
Termination Date: 20230630
Action Code: N – No maintenance for this code