2024 HCPCS Code G9017

Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)

Notice	HCPCS G9017 terminated on December 31, 2019.
Short Description	Amantadine hcl 100mg oral
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2020
HCPCS Code Added Date	December 01, 2004
HCPCS Pricing Indicator Code	13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
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	1 - Medical care
HCPCS Anesthesia Base Unit Quantity	0