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HCPCS
C9091

HCPCS Code C9091
Deleted

First appearance of deletion in codebook. See J9331.

Official Description

Injection, sirolimus protein-bound particles, 1 mg
Short Descr Sirolimus, protein-bound,1mg
Related Drugs FYARRO
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
BETOS O1D – Chemotherapy
TOS Code(s) 9 – Other medical items or services
Added Date 4/1/2022
Termination Date 6/30/2022
APC Status Indicator Pass-Through Drugs and Biologicals
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2023-01-01 Deleted First appearance of deletion in codebook. See J9331.
2022-06-30 Deleted Code deleted, see J9331.
2022-04-01 Added Code added.
Code
Description
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