2024 HCPCS Code Q0220
Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg
TAGS: vaccine tixagevimab certain history vaccination weighing severely moderate prophylaxis compromised recommended individuals systems adverse known pediatric older years reaction severe immune either least available
| Short Description | Tixagev and cilgav, 300mg |
| HCPCS Coverage Code | C - Carrier judgment |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | December 08, 2021 |
| HCPCS Code Added Date | December 08, 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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