| HCPCS Code: |
C9273 |
| Long Description: |
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, per infusion |
| 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: |
Q2043 |
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
O1D (Chemotherapy) |
| Type of Service Code 1: |
1 (Medical care) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-10-2010 |
| Action Effective Date: |
01-07-2011 |
| Termination Date: |
30-06-2011 |
| Action Code: |
N (No maintenance for this code) |
