2023 HCPCS Code C9139

Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.
Notice HCPCS C9139 terminated on December 31, 2016.
Short Description Idelvion, 1 i.u.
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2017
HCPCS Code Added Date October 01, 2016
HCPCS Termination Date December 31, 2016
HCPCS Pricing Indicator Code 53 = Statute
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Statute Number 1833(t)
HCPCS Cross Reference Code J7202
HCPCS Type Of Service Code 9 = Other medical items or services
F = Ambulatory surgical center (facility usage for surgical services)
HCPCS Anesthesia Base Unit Quantity 0