Table of content for "Inj epcoritamab-bysp,0.16 mg" (HCPCS C9155)
General information on the “C9155” code
HCPCS Code: C9155
Long Description: Injection, epcoritamab-bysp, 0.16 mg
Short Description: Inj epcoritamab-bysp,0.16 mg
Original information is taken from C9155 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): 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: 20231001
Code Effective Date: 20240101
Termination Date: 20231231
Action Code: N – No maintenance for this code