HCPCS Code Details - M0246

HCPCS Level II Code
Medical services
HCPCS Code M0246
Description

Long description:
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency

Short description:
Bamlan and etesev infus home

HCPCS Modifier1
HCPCS Pricing indicator 54 - Vaccinations
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1G - Immunizations/Vaccinations
HCPCS Action code A - Add procedure or modifier code
Type of service V - Pneumococcal/flu vaccine
Effective date Effective May 06, 2021
Date added Added May 06, 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 M0239 · Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring

  • HCPCS M0245 · Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring

  • HCPCS M0247 · Intravenous infusion, sotrovimab, includes infusion and post administration monitoring


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”