HCPCS C-Codes
Temporary Codes for Use with Outpatient Prospective Payment System

  • C9016

    Injection, triptorelin extended release, 3.75 mg

  • C9021

    Injection, obinutuzumab, 10 mg

  • C9022

    Injection, elosulfase alfa, 1mg

  • C9023

    Injection, testosterone undecanoate, 1 mg

  • C9024

    Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

  • C9025

    Injection, ramucirumab, 5 mg

  • C9026

    Injection, vedolizumab, 1 mg

  • C9027

    Injection, pembrolizumab, 1 mg

  • C9028

    Injection, inotuzumab ozogamicin, 0.1 mg

  • C9029

    Injection, guselkumab, 1 mg
  • Continued

  • C9030

    Injection, copanlisib, 1 mg

  • C9031

    Lutetium lu 177, dotatate, therapeutic, 1 mci

  • C9032

    Injection, voretigene neparvovec-rzyl, 1 billion vector genome

  • C9033

    Injection, fosnetupitant 235 mg and palonosetron 0.25 mg

  • C9034

    Injection, dexamethasone 9%, intraocular, 1 mcg

  • C9035

    Injection, aripiprazole lauroxil (aristada initio), 1 mg

  • C9036

    Injection, patisiran, 0.1 mg

  • C9037

    Injection, risperidone (perseris), 0.5 mg

  • C9038

    Injection, mogamulizumab-kpkc, 1 mg

  • C9039

    Injection, plazomicin, 5 mg

  • C9040

    Injection, fremanezumab-vfrm, 1mg

  • C9041

    Injection, coagulation factor xa (recombinant), inactivated (andexxa), 10 mg

  • C9042

    Injection, bendamustine hcl (belrapzo), 1 mg

  • C9043

    Injection, levoleucovorin, 1 mg

  • C9044

    Injection, cemiplimab-rwlc, 1 mg

  • C9045

    Injection, moxetumomab pasudotox-tdfk, 0.01 mg

  • C9046

    Cocaine hydrochloride nasal solution (goprelto), 1 mg

  • C9047

    Injection, caplacizumab-yhdp, 1 mg

  • C9048

    Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

  • C9049

    Injection, tagraxofusp-erzs, 10 mcg
  • Continued

  • C9050

    Injection, emapalumab-lzsg, 1 mg

  • C9051

    Injection, omadacycline, 1 mg

  • C9052

    Injection, ravulizumab-cwvz, 10 mg

  • C9053

    Injection, crizanlizumab-tmca, 1 mg

  • C9054

    Injection, lefamulin (xenleta), 1 mg

  • C9055

    Injection, brexanolone, 1mg

  • C9056

    Injection, givosiran, 0.5 mg

  • C9057

    Injection, cetirizine hydrochloride, 1 mg

  • C9058

    Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo) 0.5 mg

  • C9059

    Injection, meloxicam, 1 mg

  • C9060

    Fluoroestradiol f18, diagnostic, 1 mci

  • C9061

    Injection, teprotumumab-trbw, 10 mg

  • C9062

    Injection, daratumumab 10 mg and hyaluronidase-fihj

  • C9063

    Injection, eptinezumab-jjmr, 1 mg

  • C9064

    Mitomycin pyelocalyceal instillation, 1 mg

  • C9065

    Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg

  • C9066

    Injection, sacituzumab govitecan-hziy, 2.5 mg

  • C9067

    Gallium ga-68, dotatoc, diagnostic, 0.01 mci

  • C9068

    Copper cu-64, dotatate, diagnostic, 1 millicurie

  • C9069

    Injection, belantamab mafodontin-blmf, 0.5 mg