A9586

Short Description

• Florbetapir f18

Procedure Note

• 0189 = IOM 100 – 3, CH 4, NCD 220.6.20.

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• October 01, 2018

HCPCS Code Added Date

• January 01, 2013

HCPCS Pricing Indicator Code

• 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)

HCPCS Multiple Pricing Indicator Code

• 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is ’99’)

HCPCS ASC Payment Group Code

• YY

HCPCS ASC Payment Group Effective Date

• October 01, 2018

HCPCS Type Of Service Code

• 4 = Diagnostic radiology

HCPCS Anesthesia Base Unit Quantity

• 0