C9310 HCPCS code: Injection, leucovorin calcium (avyxa), 1 mg

C9310 is the HCPCS Level II code for injection, leucovorin calcium (avyxa), 1 mg. CMS terminated C9310 on 2026-09-30; 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

FieldValue
SectionC codes — Outpatient PPS (hospital outpatient temporary codes)
Coverage codeD — Special coverage instructions apply
Pricing indicator53
BETOS categoryO1E — Other drugs
Added2026-07-01
Last action effective2026-10-01
Terminated2026-09-30

What changed for C9310

Frequently asked questions

What is HCPCS code C9310?

C9310 is the HCPCS Level II code for injection, leucovorin calcium (avyxa), 1 mg. Short descriptor: "Inj, leucovorin cal (avyxa)".

Does Medicare cover C9310?

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

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.

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