C9305 HCPCS code: Injection, nipocalimab-aahu, 3 mg
C9305 is the HCPCS Level II code for injection, nipocalimab-aahu, 3 mg. 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 | 2025-10-01 |
| Last action effective | 2025-10-01 |
What changed for C9305
- October 2025: Code appears in this HCPCS release
- 2025-10-01: C9305 added to HCPCS Level II
- 2025-10-01: Last CMS action: code added
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C9305?
C9305 is the HCPCS Level II code for injection, nipocalimab-aahu, 3 mg. Short descriptor: "Inj, nipocalimab-aahu, 3 mg".
Does Medicare cover C9305?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related C93 codes
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Next steps
- Run a reimbursement report for a device billed under C9305
- Watch C9305 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9305
Sources: CMS HCPCS Level II release October 2025; 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.