TABLE 40.?NEW LEVEL II HCPCS CODES FOR COVERED ANCILLARY SERVICES IMPLEMENTED IN JULY 2009			
			
CY 2009 HCPCS Code	CY 2009 Long Descriptor	Proposed CY 2010 ASC Payment Indicator	Proposed CY 2010 ASC Payment Rate*
C9250	"Human plasma fibrin sealant, vapor-heated, solvent-detergent (Artiss), 2ml"	K2	$155.00 
C9251	"Injection, C1 esterase inhibitor (human), 10 units"	K2	$41.34 
C9252	"Injection, plerixafor, 1 mg"	K2	$276.04 
C9253	"Injection, temozolomide, 1 mg"	K2	$5.00 
C9360	"Dermal substitute, native, non-denatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters"	K2	$14.31 
C9361	"Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 centimeter length"	K2	$124.55 
C9362	"Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc"	K2	$56.71 
C9363	"Skin substitute, Integra Meshed Bilayer Wound Matrix, per square centimeter "	K2	$11.13 
C9364	"Porcine implant, Permacol, per square centimeter"	K2	$18.57 
Q2023	"Injection, factor viii (antihemophilic factor, recombinant) (Xyntha), per i.u."	K2	$1.15 
Q4116	"Skin substitute, Alloderm, per square centimeter"	K2	$32.42 
			
Based on July 2009 ASP information.			
