HCPCS Code Details - C9139

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9139

Long description:
Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.

Short description:
Idelvion, 1 i.u.

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 Jan 01, 2017
Date added Added Oct 01, 2016
Termination date Dec 31, 2016
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 C9138 · Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1 i.u.

  • HCPCS J7200 · Injection, factor ix, (antihemophilic factor, recombinant), rixubis, per iu

  • HCPCS J7201 · Injection, factor ix, fc fusion protein, (recombinant), alprolix, 1 i.u.

  • HCPCS J7202 · Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.

  • HCPCS C9140 · Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u.

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”