New codes created for monoclonal antibody bebtelovimab following FDA EUA

February 22, 2022

On Feb. 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients when all of these apply:

  • They have a positive COVID-19 test result
  • They’re at high-risk for progression to severe COVID-19
  • Alternative COVID-19 treatment options approved or authorized by the FDA aren’t accessible or clinically appropriate for them

CMS created new codes, effective Feb. 11:

Q0222:

  • Long descriptor: Injection, bebtelovimab, 175 mg
  • Short descriptor: Bebtelovimab 175

M0222:

  • Long Descriptor: Intravenous injection, bebtelovimab, includes injection and post administration monitoring
  • Short Descriptor: Bebtelovimab injection

M0223:

  • Long Descriptor: Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency
  • Short Descriptor: Bebtelovimab injection home

Who's reviewing revenue strategy with you at this time?

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule/Charge Master at no cost.

That’s right. For free.

Share This