Hcpcs code for prolastin
WebThis web page contains comprehensive information about NDC Code 13533-705-01. “Prolastin-c Liquid ” (aka “Alpha1-proteinase Inhibitor (human)”) is a human prescription drug product labeled by “GRIFOLS USA, LLC”. ... 13533-705-01 NDC Code has mapping (crosswalk) to HCPCS coding system. More: NDC to HCPCS Disclaimer Do not rely on ... Webstandard codes and conform to HCPCS and CPT® code descriptions which may not be changed. HCPCS per diem S-codes have descriptions which (1) specify what is included …
Hcpcs code for prolastin
Did you know?
WebPROLASTIN-C HS-333 Clinical Coverage Guideline page 1 Original Effective Date: 5/3/2024 - Revised: N/A Easy Choice Health Plan Missouri Care ‘Ohana Health Plan, a plan offered by ... Covered CPT/HCPCS Codes J0256 Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg Webon” codes) based on the number of times the health care professional performed the procedure (for example, bill an add-on HCPCS debridement code, in addition to its “base” code, for each additional 20 square centimeters of tissue removed). Some HCPCS codes are defined by direct (one-on-one) time spent in patient contact for each 15 minutes.
WebNov 1, 2024 · ING-CC-0041 Complement Inhibitors Added medical necessity criteria for Soliris for the new indication of neuromyelitis optica spectrum disorder. ING-CC-0048 Spinraza (nusinersen) Updated medical necessity criteria for use after gene therapy to require decline in clinical status. WebMar 13, 2024 · The specific activity of Prolastin is ≥ 0.35 mg functional alpha 1-PI/mg protein and when reconstituted as directed, the concentration of alpha 1-PI is ≥ 20 …
WebJan 1, 2002 · 2024 HCPCS Code S9346 Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care … WebApplicable Codes ..... 2 Background ... Prolastin ®-C, and Zemaira) are medically necessary f or the treatment ... HCPCS Code Description J0256 . Injection, alpha 1 …
Web25 rows · The NDC Packaged Code 13533-705-01 is assigned to a package of 1 vial in 1 carton / 20 ml in 1 vial (13533-705-11) of Prolastin-c Liquid, a plasma derivative labeled …
WebJul 7, 2024 · HCPCS Code Abecma NOC Actemra J3262 Adagen J2504 Adakveo J0791 Adcetris J9042 Aldurazyme J1931 Alimta J9305 Aliqopa J9057 Amondys 45 NOC … part d plans with no donut holeWebJ0256 Alpha 1 Proteinase Inhibitor ARALAST, ARALAST NP, PROLASTIN-C, ZEMAIRA YES 2/17/2024 Note: Codes and Medications not included on this document are subject to prior authorization. ... Blue Cross Complete HCPCS medication codes prior authorization list provider administered outpatient medications J0878 Daptomycin Injection CUBICIN YES … part d phases of coveragehttp://mcgs.bcbsfl.com/MCG?mcgId=09-J0000-49&pv=false part d plans for mobility assistanceWebHCPCS code S9346 for Home infusion therapy, alpha-1-proteinase inhibitor (e.g., Prolastin); administrative services, professional pharmacy services, care coordination, and all … part down the middle ponytailWebHCPCS codes: Code Description J0256 Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg [Aralast, Aralast NP, Prolastin C, Zemira] J0257 Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg Diagnosis coding ICD-9-CM diagnosis codes: Code Description 273.4 Alpha-1-antitrypsin deficiency 492.8 Other emphysema part down the middle braidsWebApr 22, 2024 · VI. Billing Code/Availability Information HCPCS Code & NDC: Drug Manufacturer HCP CS code 1 Billable Unit SDV Size NDC Aralast NP (powder) Baxalta … part drawing for a coolerWebPROLASTIN-C LIQUID is not indicated as therapy for lung disease in patients in whom 22 severe Alpha. 1-PI deficiency has not been established. 23 . 24 . DOSAGE AND … part dreaded hair