C9453 HCPCS - INJECTION, NIVOLUMAB, 1 MG

Code Information

HCPCS Code: C9453

Sequence Number: 0010

Short Description: Injection, nivolumab

Long Description: Injection, nivolumab, 1 mg

Code Added Date: 7/1/2015

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2016

Classification: Temporary Hospital Outpatient Prospective Payment System

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: O1D - Chemotherapy
Type Of Service Code:
  • 9 - Other medical items or services
  • F - Ambulatory surgical center (facility usage for surgical services)

Billing Information

Pricing Indicator Code:
  • 53 - Statute
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: D - Special coverage instructions apply

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C9453
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Injection, nivolumab, 1 mg
      HCPCS Short Description Injection, nivolumab
      HCPCS Pricing Indicator Code 1 53 - Statute
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Statute Number 1833(t)
      HCPCS Cross Reference Code 1 J9299
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS Berenson-Eggers Type Of Service Code O1D - Chemotherapy
      HCPCS Type Of Service Code 1 9 - Other medical items or services
      HCPCS Type Of Service Code 2 F - Ambulatory surgical center (facility usage for surgical services)
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 7/1/2015
      HCPCS Action Effective Date 1/1/2016
      HCPCS Termination Date 12/31/2015
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018