A9604

Short Description

• Sm 153 lexidronam

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2010

HCPCS Code Added Date

• January 01, 2010

HCPCS Pricing Indicator Code

• 57 = Other carrier priced

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Type Of Service Code

• 6 = Therapeutic radiology

HCPCS Anesthesia Base Unit Quantity

• 0