2024 HCPCS Code C9028

Injection, inotuzumab ozogamicin, 0.1 mg

Notice	HCPCS C9028 terminated on December 31, 2018.
Short Description	Inj. inotuzumab ozogamicin
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	January 01, 2018
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