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Unclassified drugs or biologicals

HCPCS code

Medical Policies and Guidelines for Unclassified drugs or biologicals

Related policies from health plans

Abecma (idecabtagene vicleucel)
Adzynma (ADAMTS13, recombinant-krhn)
Adbry (tralokinumab)
BESREMi (ropeginterferon alfa-2b-njft)
Beta Interferons and Glatiramer Acetate for Treatment of Multiple Sclerosis
Complement Inhibitors
Dupixent (dupilumab)
Dupixent (dupilumab)
Growth Hormone
Growth Hormone
Human Parathyroid Hormone Agents
Human Parathyroid Hormone Agents
Imcivree (setmelanotide)
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
Monoclonal Antibodies to Interleukin-17
Monoclonal Antibodies to Interleukin-17
Monoclonal Antibodies to Interleukin-6
Monoclonal Antibodies to Interleukin-6
Palynziq (pegvaliase-pqpz)
Proprotein Convertase Subtilisin Kexin 9 (PCSK9) Inhibitors
Proprotein Convertase Subtilisin Kexin 9 (PCSK9) Inhibitors
Rituximab agents for Non-Oncologic Indications
Spevigo (spesolimab-sbzo)
Tegsedi (inotersen)
Tegsedi (inotersen)
Uplizna (inebilizumab-cdon)
Concomitant use of Biologics and tsDMARDs (CG064)
Dupixent (dupilumab) (PG026)
Elevidys (delandistrogene moxeparvovec-rokl) (PG160)
Experimental and Investigational Services (CG012)
Lamzede (velmanase alfa-tycv) (PG146)
Izervay (avancincaptad pegol) (PG168)
Omisirge (omidubicel-onlv) (PG149)
Voxzogo (vosoritide)
Roctavian (valoctocogene roxaparvovec-rvox) (PG163)
Vyjuvek (beremagene geperpavec-svdt) (PG147)
Lantidra
Thymus Tissue Transplantation - (0561)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
MED.00147 Cellular Therapy Products for Allogeneic Stem Cell Transplantation
MED.00135 Gene Therapy for Hemophilia
MED.00144 Gene Therapy for Duchenne Muscular Dystrophy
Allogenic Processed Thymus Tissue-agdc (Rethymic)
FORTEO, Teriparatide (Recombinant)
Setmelanotide (Imcivree)
Tralokinumab-ldrm (Adbry)

Similar Codes


ICD10CM codes

Z88.9 - Allergy status to unspecified drugs, medicaments and biological substances
Y64 - Contaminated medical or biological substances
Y64.9 - Contaminated medical or biological substance administered by unspecified means
T50.904A - Poisoning by unspecified drugs, medicaments and biological substances, undetermined, initial encount
T50.904 - Poisoning by unspecified drugs, medicaments and biological substances, undetermined
Y63.62 - Nonadministration of necessary drug, medicament or biological substance
T50.905 - Adverse effect of unspecified drugs, medicaments and biological substances
T50.906 - Underdosing of unspecified drugs, medicaments and biological substances
T50.905A - Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter
T50.906A - Underdosing of unspecified drugs, medicaments and biological substances, initial encounter

HCPCS codes

C9399 - Unclassified drugs or biologicals
J3590 - Unclassified biologics
J3490 - Unclassified drugs
D9630 - OTHER DRUGS AND/OR MEDICAMENTS
J7999 - Compounded drug, not otherwise classified
J7599 - Immunosuppressive drug, not otherwise classified
A9150 - Non-prescription drugs
J9999 - Not otherwise classified, antineoplastic drugs
D9612 - THERAPEUTIC PARENTERAL DRUGS
D9610 - THERAPEUTIC PARENTERAL DRUG

CPT4 codes

90399 - Unlisted immune globulin
93799 - Unlisted cardiovascular service or procedure
99429 - Unlisted preventive medicine service
84999 - Unlisted chemistry procedure
78999 - Unlisted miscellaneous procedure, diagnostic nuclear medicine
89240 - Unlisted miscellaneous pathology test
86999 - Unlisted transfusion medicine procedure
96379 - Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusio
96549 - Unlisted chemotherapy procedure
97139 - Unlisted therapeutic procedure (specify)