2025 HCPCS Code S9562

Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

TAGS: professional nursing injectable palivizumab equipment antibody necessary visits monoclonal pharmacy supplies administrative coded

Short Description	Ht inj palivizumab/ab diem
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	I - Not payable by Medicare
HCPCS Code Added Date	January 01, 2003
HCPCS Action Effective Date	April 01, 2023
HCPCS Pricing Indicator Code	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Type Of Service Code	9 - Other medical items or services
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Coverage Issues Manual Reference Section Number