C9275 HCPCS code: Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose
C9275 is the HCPCS Level II code for injection, hexaminolevulinate hydrochloride, 100 mg, per study dose. CMS terminated C9275 on 2018-12-31; do not bill it for later dates of service. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
Code details
| Field | Value |
|---|---|
| Section | C codes — Outpatient PPS (hospital outpatient temporary codes) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 53 |
| BETOS category | O1E — Other drugs |
| Added | 2011-01-01 |
| Last action effective | 2019-01-01 |
| Terminated | 2018-12-31 |
What changed for C9275
- 2011-01-01: C9275 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C9275?
C9275 is the HCPCS Level II code for injection, hexaminolevulinate hydrochloride, 100 mg, per study dose. Short descriptor: "Hexaminolevulinate hcl".
Does Medicare cover C9275?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related C92 codes
- C9248 — Injection, clevidipine butyrate, 1 mg
- C9250 — Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml
- C9254 — Injection, lacosamide, 1 mg
- C9257 — Injection, bevacizumab, 0.25 mg
- C9285 — Lidocaine 70 mg/tetracaine 70 mg, per patch
- C9290 — Injection, bupivacaine liposome, 1 mg
- C9293 — Injection, glucarpidase, 10 units
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under C9275
- Watch C9275 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9275
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.