2024 HCPCS Code C9064

Mitomycin pyelocalyceal instillation, 1 mg

Notice	HCPCS C9064 terminated on December 31, 2020.
Short Description	Mitomycin pyelocalyceal inst
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2021
HCPCS Code Added Date	October 01, 2020
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