2025 HCPCS Code M0238

Intravenous infusion, tocilizumab-anoh, for hospitalized adult patients 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, second dose

TAGS: systemic supplemental hospitalized oxygenation second intravenous administration require membrane mechanical infusion patients adult invasive corticosteroids extracorporeal receiving

Short DescriptionIntrav inf, toci, second dos
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code A - Add procedure or modifier code
HCPCS Action Effective Date January 24, 2025
HCPCS Code Added Date January 24, 2025
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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