Table of content for "Grafix prime" (HCPCS C9369)
General information on the “C9369” code
HCPCS Code: C9369
Long Description: Grafix prime, per square centimeter
Short Description: Grafix prime
Original information is taken from C9369 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: Q4133 ;
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: 20120701
Code Effective Date: 20130101
Termination Date: 20121231
Action Code: N – No maintenance for this code