C9313 HCPCS Level II code: Injection, pivekimab sunirine-pvzy, 0.01 mg
C9313 is the HCPCS code for “Injection, pivekimab sunirine-pvzy, 0.01 mg” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
C9313Injection, pivekimab sunirine-pvzy, 0.01 mg
Short description: Inj, pivekimab sunirine pvzy
HCPCS · United States
Medicare details
The indicators CMS publishes with C9313 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Statute
- ASC
- Approved for ambulatory surgical centers
- Type of service
- Medical care
- BETOS category
- Other drugs
- Coverage statute
- 1833(t)
- Added
- Oct 1, 2026
Where C9313 sits
- 1C codesOutpatient prospective payment system
- 2Active code C9313Injection, pivekimab sunirine-pvzy, 0.01 mg
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code C9313 mean?
C9313 is the HCPCS code for “Injection, pivekimab sunirine-pvzy, 0.01 mg” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover C9313?
CMS lists C9313’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Statute”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside C9313
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