A9572

Short Description

• Indium in-111 pentetreotide

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2008

HCPCS Code Added Date

• January 01, 2008

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

• 4 = Diagnostic radiology

HCPCS Anesthesia Base Unit Quantity

• 0