Table of content for "Amantadine hcl 100mg oral" (HCPCS G9017)
General information on the “G9017” code
HCPCS Code: G9017
Long Description: Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)
Short Description: Amantadine hcl 100mg oral
Original information is taken from G9017 page
Pricing indicators
Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
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: 20041201
Code Effective Date: 20200101
Termination Date: 20191231
Action Code: N – No maintenance for this code