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C9369 - Grafix prime

Navigation: HCPCS Codes > Codes with Prefix: C9
Field Value
HCPCS Code: C9369
Long Description: Grafix prime, per square centimeter
Short Description: Grafix prime
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: Q4133
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: 01-07-2012
Action Effective Date: 01-01-2013
Termination Date: 31-12-2012
Action Code: N (No maintenance for this code)