C9150

Short Description

• Xe129 xenon, diagnostic

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• A = Add procedure or modifier code

HCPCS Action Effective Date

• July 01, 2023

HCPCS Code Added Date

• July 01, 2023

HCPCS Pricing Indicator Code

• 53 = Statute

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Statute Number

• 1833(t)

HCPCS Type Of Service Code

• 1 = Medical care

HCPCS Anesthesia Base Unit Quantity

• 0