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• C9149

  Injection, teplizumab-mzwv, 5 mcg

• C9150

  Xenon xe-129 hyperpolarized gas, diagnostic, per study dose

• C9151

  Injection, pegcetacoplan, 1 mg

• C9152

  Injection, aripiprazole, (abilify asimtufii), 1 mg

• C9153

  Injection, amisulpride, 1 mg

• C9154

  Injection, buprenorphine extended-release (brixadi), 1 mg

• C9155

  Injection, epcoritamab-bysp, 0.16 mg

• C9156

  Flotufolastat f 18, diagnostic, 1 millicurie

• C9157

  Injection, tofersen, 1 mg

• C9158

  Injection, risperidone, (uzedy), 1 mg

• C9159

  Injection, prothrombin complex concentrate (human), balfaxar, per i.u. of factor ix activity

• C9160

  Injection, daxibotulinumtoxina-lanm, 1 unit

• C9161

  Injection, aflibercept hd, 1 mg

• C9162

  Injection, avacincaptad pegol, 0.1 mg

• C9163

  Injection, talquetamab-tgvs, 0.25 mg

• C9164

  Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)

• C9165

  Injection, elranatamab-bcmm, 1 mg

• C9166

  Injection, secukinumab, intravenous, 1 mg

• C9167

  Injection, adamts13, recombinant-krhn, 10 iu

• C9168

  Injection, mirikizumab-mrkz, 1 mg

• C9169

  Injection, nogapendekin alfa inbakicept-pmln, for intravesical use, 1 microgram

• C9170

  Injection, tarlatamab-dlle, 1 mg

• C9171

  Injection, pegulicianine, 1 mg

• C9172

  Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose

• C9173

  Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram

• C9174

  Injection, datopotamab deruxtecan-dlnk, 1 mg

• C9175

  Injection, treosulfan, 50 mg

• C9176

  Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose

• C9248

  Injection, clevidipine butyrate, 1 mg

• C9250

  Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml

• C9254

  Injection, lacosamide, 1 mg

• C9257

  Injection, bevacizumab, 0.25 mg

• C9275

  Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose

• C9285

  Lidocaine 70 mg/tetracaine 70 mg, per patch

• C9290

  Injection, bupivacaine liposome, 1 mg

• C9293

  Injection, glucarpidase, 10 units

• C9300

  Injection, indigotindisulfonate sodium, 1 mg

• C9301

  Obecabtagene autoleucel, up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

• C9302

  Injection, zanidatamab-hrii, 2 mg

• C9303

  Injection, zolbetuximab-clzb, 1 mg

• C9304

  Injection, marstacimab-hncq, 0.5 mg

• C9305

  Injection, nipocalimab-aahu, 3 mg

• C9306

  Injection, telisotuzumab vedotin-tllv, 1 mg

• C9307

  Injection, linvoseltamab-gcpt, 1 mg

• C9308

  Injection, carboplatin (avyxa), 1 mg

• C9309

  Injection, onasemnogene abeparvovec-brve, per treatment

• C9349

  Puraply, and puraply antimicrobial, any type, per square centimeter

• C9352

  Microporous collagen implantable tube (neuragen nerve guide), per centimeter length

• C9353

  Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length

• C9354

  Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

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