Table of content for "Inj, tarlatamab-dlle, 1 mg" (HCPCS C9170)
General information on the “C9170” code
HCPCS Code: C9170
Long Description: Injection, tarlatamab-dlle, 1 mg
Short Description: Inj, tarlatamab-dlle, 1 mg
Original information is taken from C9170 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
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20241001
Code Effective Date: 20250101
Termination Date: 20241231
Action Code: D – Discontinue procedure or modifier code