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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), 600 mg
Short Descr Tixagev and cilgav, 600mg
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 2/24/2022
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 Influenza, Pneumococcal Pneumonia, Hepatitis B, and Covid-19 Vaccines; Monoclonal Antibody Therapy Product
ASC Payment Indicator Influenza vaccine; pneumococcal vaccine.
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
GZ Item or service expected to be denied as not reasonable and necessary
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.
2022-02-24 Added Code added. FDA authorized EUA.
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Description
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