C9458

Notice

• HCPCS C9458 terminated on June 30, 2016.

Short Description

• Florbetaben f18

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• July 01, 2016

HCPCS Code Added Date

• January 01, 2016

HCPCS Termination Date

• June 30, 2016

HCPCS Pricing Indicator Code

• 53 = Statute

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Statute Number

• 1833(t)

HCPCS Cross Reference Code

• Q9983

HCPCS Type Of Service Code

• 4 = Diagnostic radiologyF = Ambulatory surgical center (facility usage for surgical services)

HCPCS Anesthesia Base Unit Quantity

• 0