M0233 : HCPCS Code (2026) : JSON

M0233 : Intravenous infusion, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose ( Intra inf, toci, first dose )

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HCPCS Code : M0233 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "M0233",
    "LongDescription": "Intravenous infusion, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose",
    "ShortDescription": "Intra inf, toci, first dose",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "54",
        "PricingIndicatorCode": "Vaccinations"
      }
    },
    "MPI": "A",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
    "CIMs": null,
    "MCMs": "",
    "Statute": null,
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "C",
    "CoverageDescription": "Carrier judgment",
    "ASCPayGrp": null,
    "ASCPayGrpEffDate": null,
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "O1G",
    "BETOSDescription": "Immunizations/Vaccinations",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "V",
        "TypeOfServiceCode": "Pneumococcal/flu vaccine (eff 01/96), Pneumococcal/flu/hepatitis B vaccine (eff 04/95-12/95), Pneumococcal only before 04/95"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20260401",
    "ActionEffDate": "20260401",
    "TermDate": null,
    "ActionCode": "A",
    "ActionCodeDescription": "Add procedure or modifier code"
  }
}