Table of content for "Hexaminolevulinate hcl" (HCPCS C9275)
General information on the “C9275” code
HCPCS Code: C9275
Long Description: Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose
Short Description: Hexaminolevulinate hcl
Original information is taken from C9275 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: A9589 ;
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 4 – Diagnostic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20110101
Code Effective Date: 20190101
Termination Date: 20181231
Action Code: N – No maintenance for this code