Table of content for "Inj, brentuximab vedotin" (HCPCS C9287)
General information on the “C9287” code
HCPCS Code: C9287
Long Description: Injection, brentuximab vedotin, 1 mg
Short Description: Inj, brentuximab vedotin
Original information is taken from C9287 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: J9042 ;
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
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20120101
Code Effective Date: 20130101
Termination Date: 20121231
Action Code: N – No maintenance for this code