C9290 HCPCS - INJECTION, BUPIVACAINE LIPOSOME, 1 MG

Code Information

Berenson-Eggers Type Of Service Code: O1E - Other drugs
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

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
ASC Payment Group Effective Date: 1/1/2019

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C9290
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, bupivacaine liposome, 1 mg
HCPCS Short Description	Inj, bupivacaine liposome
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 Coverage Code	D - Special coverage instructions apply
HCPCS ASC Payment Group Code	YY
HCPCS ASC Payment Group Effective Date	1/1/2019
HCPCS Berenson-Eggers Type Of Service Code	O1E - Other drugs
HCPCS Type Of Service Code 1	1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	4/1/2012
HCPCS Action Effective Date	1/1/2019
HCPCS Action Code	N - No maintenance for this code