HCPCS Code Details - C9465

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9465
Description

Long description:
Hyaluronan or derivative, Durolane, for intra-articular injection, per dose

Short description:
Injection, Durolane

HCPCS Modifier1
HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code O1E - Other drugs
HCPCS Action code A - Add procedure or modifier code
Type of service 9 - Other medical items or services
Effective date Effective Apr 01, 2018
Date added Added Apr 01, 2018
Notes New OPPS pass-through drug code effective April 1, 2018.
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 C9464 · Injection, rolapitant, 0.5 mg

  • HCPCS C9471 · Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

  • HCPCS J7321 · Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose

  • HCPCS J7322 · Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

  • HCPCS J7323 · Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose

  • HCPCS J7324 · Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

  • HCPCS J7325 · Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg

  • HCPCS J7326 · Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

  • HCPCS J7327 · Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

  • HCPCS J7328 · Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg

  • HCPCS Q9980 · Hyaluronan or derivative, genvisc 850, for intra-articular injection, 1 mg

  • HCPCS C9466 · Injection, benralizumab, 1 mg


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”