2024 HCPCS Code A9572

Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries

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 Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	4 - Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity	0