2024 HCPCS Code C9139

Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.

Notice	HCPCS C9139 terminated on December 31, 2016.
Short Description	Idelvion, 1 i.u.
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	October 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