COVID-19 Monoclonal Antibodies: FDA Authorizes Bebtelovimab

February 18, 2022
Policy Snapshot

On February 11, the Food and Drug Administration (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 February 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

Visit the COVID-19 Monoclonal Antibodies webpage for more information.