2024 HCPCS Code C9137

Injection, factor viii (antihemophilic factor, recombinant) pegylated, 1 i.u.

Notice	HCPCS C9137 terminated on December 31, 2016.
Short Description	Adynovate factor viii recom
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2017
HCPCS Code Added Date	April 01, 2016
HCPCS Pricing Indicator Code	53 - Statute
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	9 - Other medical items or services
HCPCS Anesthesia Base Unit Quantity	0