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C9130 - Injection, ivig bivigam

Navigation: HCPCS Codes > Codes with Prefix: C9
Field Value
HCPCS Code: C9130
Long Description: Injection, immune globulin (bivigam), 500 mg
Short Description: Injection, ivig bivigam
Pricing Indicator 1: 53 (Statute)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number: 1833(t)
Cross Reference Code 1: J1556
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: O1E (Other drugs)
Type of Service Code 1: 1 (Medical care)
Anesthesia Base Unit Quality: 0
Code Added: 01-04-2013
Action Effective Date: 01-01-2014
Termination Date: 31-12-2013
Action Code: D (Discontinue procedure or modifier code)