HCPCS Code Details - C9122

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9122

Long description:
Mometasone furoate sinus implant, 10 micrograms (sinuva)

Short description:
Mometasone furoate (sinuva)

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 O1E - Other drugs
HCPCS Action code N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Apr 01, 2021
Date added Added Jul 01, 2020
Termination date Mar 31, 2021
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 C9121 · Injection, argatroban, per 5 mg

  • HCPCS J7401 · Mometasone furoate sinus implant, 10 micrograms

  • HCPCS J7402 · Mometasone furoate sinus implant, (sinuva), 10 micrograms

  • HCPCS S1090 · Mometasone furoate sinus implant, 370 micrograms

  • HCPCS C9132 · Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity

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”