2021/2022 HCPCS Code Q2043

Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion
Short Description Sipuleucel-t auto cd54+
Procedure Note 0175 = NCD Pub 100 - 3, 110.22.
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date July 01, 2011
HCPCS Code Added Date July 01, 2011
HCPCS Pricing Indicator Code 53 = Statute
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS ASC Payment Group Code YY
HCPCS ASC Payment Group Effective Date July 01, 2011
HCPCS Type Of Service Code 1 = Medical care
HCPCS Anesthesia Base Unit Quantity 0