2024 HCPCS Code Q0222

Injection, bebtelovimab, 175 mg

Short Description	Bebtelovimab 175 mg
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	February 11, 2022
HCPCS Code Added Date	February 11, 2022
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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