Home Drug Codes C Codes C9170 · IMDELLTRA
Updated July 1st, 2026

IMDELLTRA C Code: C9170

Injection, tarlatamab-dlle, 1 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, tarlatamab-dlle, 1 mg
HCPCS Added Date October 1, 2024
Manufacturer Amgen
Generic Status HCPCS Discontinued
Dosage Type Single-Dose
Dosage Form Kit

About IMDELLTRA

Imdelltra is a medication aligned to the HCPCS C Code: C9170 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug manufactured by Amgen.

Manufacturers, reach out to us to add more information.

NDC Code Information

2 NDC packages are crosswalked to C9170. Package detail is available to logged-in subscribers.

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IMDELLTRA 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
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

IMDELLTRA 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.

Extensive Stage Small Cell Lung Cancer (ES-SCLC)

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Frequently Asked Questions

Is there an available IMDELLTRA billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for IMDELLTRA.
Are there any available IMDELLTRA patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for IMDELLTRA.
Where can I find IMDELLTRA prescribing information?
IMDELLTRA prescribing information can be found at the link below. Visit Here →
Where can I find IMDELLTRA side effect information?
Information on the side effects of IMDELLTRA can be found at the below link.
Does billing IMDELLTRA require JZ/JW wastage modifiers?
CMS does not include IMDELLTRA (C9170) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing C9170. For more information, visit the link below.

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