EXPAREL is reimbursed for procedures performed in ASCs using the code C9290 and for dental procedures using code D9613.*

C9290: For procedures performed in ASCs

Effective January 1, 2019, the Centers for Medicare and Medicaid (CMS) Services reinstated a unique, product-specific
billing code, or a HCPCS code C9290, and Revenue code 0636 for EXPAREL in ASC. To learn more, click here.

As of January 1, 2024

EXPAREL is reimbursed at $1.41/mg*

Allowed amount for reimbursement:

$375.06 266 mg (20 mL) dose

$187.53 133 mg (10 mL) dose

D9613: For dental procedures

D9613 is defined as the infiltration of a sustained-release therapeutic drug, per quadrant, which allows for EXPAREL reimbursement in oral surgery procedures.

For more information, contact our dedicated reimbursement specialists at reimbursement@pacira.com or call our Reimbursement Helpline at 1-855-793-9727.

Pricing is subject to CMS updates.

ASC, ambulatory surgery center; CMS, Centers for Medicare and Medicaid Services; HCPCS, healthcare common procedure coding system.

*As of January 1, 2024; pricing subject to Centers for Medicare & Medicaid Services (CMS) Medicare updates.

The allowed amount for reimbursement is based on the full dose being used for the surgical procedure.