2024 HCPCS Code C9091

Injection, sirolimus protein-bound particles, 1 mg

Notice	HCPCS C9091 terminated on June 30, 2022.
Short Description	Sirolimus, protein-bound,1mg
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	July 01, 2022
HCPCS Code Added Date	April 01, 2022
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