2024 HCPCS Code A9544

Iodine i-131 tositumomab, diagnostic, per study dose

Notice	HCPCS A9544 terminated on December 31, 2016.
Short Description	I131 tositumomab, dx
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2017
HCPCS Code Added Date	January 01, 2006
HCPCS Pricing Indicator Code	57 - Other carrier priced
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	4 - Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity	0