2025 HCPCS Code M0249

Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose

TAGS: systemic years patients invasive corticosteroids first extracorporeal receiving supplemental pediatric hospitalized oxygenation administration require membrane infusion intravenous adults mechanical

Short DescriptionAdm tocilizu covid-19 1st
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code N - No maintenance for this code
HCPCS Action Effective Date June 24, 2021
HCPCS Code Added Date June 24, 2021
HCPCS Pricing Indicator Code 54 - Vaccinations
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 V - Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95
HCPCS Anesthesia Base Unit Quantity 0

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