Home › Drug Codes › C Codes › C9047 · CABLIVI
Updated October 1st, 2026

CABLIVI C Code: C9047

Injection, caplacizumab-yhdp, 1 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q4 2026
APC Payment Limit ?
$837.911
/ HCPCS billing unit · APC 9199
ASP ?
No current ASP
Not available for Q4 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, caplacizumab-yhdp, 1 mg
HCPCS Added Date July 1, 2019
Manufacturer Sanofi
Route of Administration Injection
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About CABLIVI

Cablivi is a medication aligned to the HCPCS C Code: C9047 for billing, pricing, and reimbursement purposes in the United States. It is a Hematology drug administered via the injection route and manufactured by Sanofi.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to C9047. Package detail is available to logged-in subscribers.

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CABLIVI Pricing & Reimbursement

C9047 Private Payer Reimbursement
$821.29 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

CABLIVI CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
Not on the CMS JW / JZ list

CMS does not include Cablivi (C9047) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing C9047. Wastage billing guide →

CABLIVI Medically Unlikely Edits (MUE)

The most billing units of C9047 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
22 units / day
= 22 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

CABLIVI Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Acquired thrombotic thrombocytopenic purpura (aTTP)

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Frequently Asked Questions

Is there an available Cablivi billing and coding guide?
Billing and coding information for CABLIVI can be found through Genzyme. Visit Here →
Are there any available Cablivi patient assistance programs?
CABLIVI patient assistance information can be found through Genzyme. Visit Here →
Where can I find Cablivi prescribing information?
CABLIVI prescribing information can be found at the link below: Visit Here →
Where can I find Cablivi side effect information?
Information regarding CABLIVI's side effects can be found at MedlinePlus Visit Here →
Does billing CABLIVI require JZ/JW wastage modifiers?
CMS does not include CABLIVI (C9047) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing C9047. For more information, visit the link below.

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