HCPCS Code Details - C9064

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9064

Long description:
Mitomycin pyelocalyceal instillation, 1 mg

Short description:
Mitomycin pyelocalyceal inst

HCPCS Modifier1
HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 1833(t)
Coverage code D - Special coverage instructions apply
BETOS2 code O1D - Chemotherapy
HCPCS Action code N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Jan 01, 2021
Date added Added Oct 01, 2020
Termination date Dec 31, 2020
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS C9063 · Injection, eptinezumab-jjmr, 1 mg

  • HCPCS J9281 · Mitomycin pyelocalyceal instillation, 1 mg

  • HCPCS C9065 · Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”