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HCPCS
M0221

HCPCS Code M0221

Official Description

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), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency
Short Descr Tixagev and cilgav inj hm
Coverage Carrier Priced
Pricing Indicator(s) 54 – Vaccinations
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS O1G – Immunizations/Vaccinations
TOS Code(s) V – Pneumococcal/flu vaccine
Added Date 12/8/2021
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Not Discounted when Multiple
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2023-01-26 Note Revoked by EUA for treatment or post-exposure prevention of COVID-19 until further notice by the FDA.
2021-12-08 Added Code added. EUA Granted.
Code
Description
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