2025 HCPCS Code M0224
Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring
TAGS: immunosuppressive certain weighing condition monitoring intravenous prophylaxis receipt infusion known administration older years medical compromise adolescents immune medications either leastShort Description | Pemivibart infusion |
HCPCS Action Code | A - Add procedure or modifier code |
HCPCS Coverage Code | C - Carrier judgment |
HCPCS Code Added Date | March 22, 2024 |
HCPCS Action Effective Date | March 22, 2024 |
HCPCS Pricing Indicator Code | 54 - Vaccinations |
HCPCS Type Of Service Code | V - Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95 |
HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
HCPCS Anesthesia Base Unit Quantity | 0 |
HCPCS Coverage Issues Manual Reference Section Number |
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