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C9258 - Telavancin injection

Navigation: HCPCS Codes > Codes with Prefix: C9
Field Value
HCPCS Code: C9258
Long Description: Injection, telavancin, 10 mg
Short Description: Telavancin injection
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: J3095
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: 9 (Other medical items or services)
Anesthesia Base Unit Quality: 0
Code Added: 01-04-2010
Action Effective Date: 01-01-2011
Termination Date: 31-12-2010
Action Code: N (No maintenance for this code)