2024 HCPCS Code C9113

Injection, pantoprazole sodium, per vial

Notice	HCPCS C9113 terminated on June 30, 2024.
Short Description	Inj pantoprazole sodium, via
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	D - Discontinue procedure or modifier code
HCPCS Action Effective Date	July 01, 2024
HCPCS Code Added Date	January 01, 2002
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