2021/2022 HCPCS Code C9493

Injection, edaravone, 1 mg
Notice HCPCS C9493 terminated on December 31, 2018.
Short Description Injection, edaravone
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2019
HCPCS Code Added Date October 01, 2017
HCPCS Termination Date December 31, 2018
HCPCS Pricing Indicator Code 53 = Statute
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Statute Number 1833(t)
HCPCS Cross Reference Code J1301
HCPCS ASC Payment Group Code YY
HCPCS ASC Payment Group Effective Date October 01, 2017
HCPCS Type Of Service Code 9 = Other medical items or services
F = Ambulatory surgical center (facility usage for surgical services)
HCPCS Anesthesia Base Unit Quantity 0