M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric...
HCPCS Procedure & Supply Codes
M0220 - Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring
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The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.
Additional Code Information (Global Days, MUEs, etc.)
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APC Status Indicator
Assistant Surgeon (80, 82)
Bilateral Surgery (50)
CCS Clinical Classification
Co-Surgeons (62)
Diagnostic Imaging Family
Facility MUEs
Global Days
Hierarchical Condition Categories (HCC)
Major Complications or Comorbidities (MCC/CC)
Medicare Status Code
Multiple Procedures (51)
Non-Facility MUEs
OTS Orthotic
PC/TC Indicator (26)
Physician Supervisions
Team Surgery (66)
Type Of Service (TOS)
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Top Modifiers - Most Often Billed
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Important: This product is not authorized for administration until further notice by the FDA.
Labeler
Vaccine Procedure
Payment Allowance
Effective From
Effective To
Footnotes
My Fee
AstraZeneca
Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring
$150.50
2021-12-08
TBD
[3][12]
(your fee)
[3] These rates will be geographically adjusted for many providers.
[12] On January 26, 2023, the FDA announced that EVUSHELD isn’t currently authorized for emergency use in the U.S.
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