2024 HCPCS Code A9513

Lutetium lu 177, dotatate, therapeutic, 1 millicurie

Short Description	Lutetium lu 177 dotatat ther
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2024
HCPCS Code Added Date	January 01, 2019
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	153.60
HCPCS Type Of Service Code	6 - Therapeutic radiology
HCPCS Anesthesia Base Unit Quantity	0