Question 1

What is HCPCS code C9301?

Accepted Answer

HCPCS code C9301 is "Obecabtagene car pos t". Obecabtagene autoleucel, up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Question 2

What category is C9301 in?

Accepted Answer

C9301 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9301?

Accepted Answer

Use C9301 when billing for obecabtagene car pos t. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is C9301 covered by Medicare?

Accepted Answer

Coverage for C9301 (Obecabtagene car pos t) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for C9301?

Accepted Answer

Documentation for C9301 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).