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    2023 HCPCS Codes
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    Codes: m0221

    m0221

    m0221 is a valid HCPCS code for 2023. It's used to specify:
    Injection tixagevimab and cilgavimab for the pre-exposure prophylaxis only for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s) includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency

    m0221- HCPCS Details

    • Updated: May 23, 2023

    HCPCS Code

    m0221

    Description

    Short Description
    Tixagev and cilgav inj hm
    Long Description
    Injection tixagevimab and cilgavimab for the pre-exposure prophylaxis only for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s) includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency

    A code denoting Medicare coverage status.

    HCPCS Coverage Code ⓘ

    C

    A code denoting the change made to a procedure or modifier code within the HCPCS system.

    HCPCS Action Code ⓘ
    N =
    No maintenance for this code

    Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.

    HCPCS Pricing Indicator ⓘ
    54 =
    Vaccinations

    Code used to identify instances where a procedure could be priced under multiple methodologies.

    HCPCS Multiple Pricing Indicator Code ⓘ
    A =
    Not applicable as HCPCS priced under one methodology

    Berenson-Eggers Type of Service (BETOS) classification categories are used to analyze Medicare costs. All Health Care Financing Administration Common Procedure Coding System (HCPCS) procedure codes are assigned to a BETOS category.

    BETOS Classification ⓘ

    O1G =
    Immunizations/Vaccinations

    The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.

    Type of Service ⓘ

    V =
    ( )

    Effective date of action to a procedure or modifier code

    Effective Date ⓘ

    12/08/2021

    The year the HCPCS code was added to the Healthcare Common Procedure Coding System.

    Date Added ⓘ

    12/08/2021
    Termination Date
    -

    The HCPCS Code Section that this code belongs to. It's typically denoted by the first letter in the code.

    Code Section ⓘ

    m
    HCPCS Coding Procedures →

    Code Sections