hcpcs data

C9475

Injection, necitumumab, 1 mg

Medicare: Special coverage instructions applyC seriesAdded April 01, 2016

What C9475 means

C9475 (Injection, necitumumab) belongs to the HCPCS Level II C series (Outpatient Prospective Payment System (OPPS)). Its Medicare coverage status is Special coverage instructions apply. Review the relevant Medicare manual or National Coverage Determination before billing.

Part B pricing: Statute.

J9295

CMS cross-references this code to J9295. Check that code if C9475isn't payable for your claim.

Code details

Short description
Injection, necitumumab
Coverage code
D = Special coverage instructions apply
Pricing indicator
53 = Statute
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
9 = Other medical items or services F = Ambulatory surgical center (facility usage for surgical services)
Action code
N = No maintenance for this code
Action effective date
January 01, 2017
Code added date
April 01, 2016
Data year
2026

Questions about C9475

What is HCPCS code C9475?

HCPCS code C9475 is a Level II code in the C series (Outpatient Prospective Payment System (OPPS)). Its full description is: "Injection, necitumumab, 1 mg"

Is C9475 a CPT code?

No. C9475 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code C9475?

The Medicare coverage code for C9475 is "Special coverage instructions apply". Review the relevant Medicare manual or National Coverage Determination before billing.

When was HCPCS code C9475 added?

C9475 was added to the HCPCS code set on April 01, 2016. The most recent action on it (No maintenance for this code) took effect on January 01, 2017.

All C codes