2024 HCPCS Code Q0224
Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg
TAGS: immunosuppressive certain weighing condition response mount prophylaxis receipt known older years adequate medical compromise adolescents immune unlikely medications either least
| Short Description | Inj, pemivibart, 4500 mg |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | A - Add procedure or modifier code |
| HCPCS Action Effective Date | March 22, 2024 |
| HCPCS Code Added Date | March 22, 2024 |
| 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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