| HCPCS Code: |
C9289 |
| Long Description: |
Injection, asparaginase erwinia chrysanthemi, 1,000 international units (i.u.) |
| Short Description: |
Inj, erwinia chrysanthemi |
| Pricing Indicator 1: |
53 (Statute) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
1833(t) |
| Cross Reference Code 1: |
J9019 |
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
YY |
| ASC Payment Group Date: |
01-04-2012 |
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
O1D (Chemotherapy) |
| Type of Service Code 1: |
9 (Other medical items or services) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-04-2012 |
| Action Effective Date: |
01-01-2013 |
| Termination Date: |
31-12-2012 |
| Action Code: |
N (No maintenance for this code) |
