2024 HCPCS Code A9607

Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie

Short Description	Lutetium lu 177 vipivotide
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	October 01, 2022
HCPCS Code Added Date	October 01, 2022
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	6 - Therapeutic radiology
HCPCS Anesthesia Base Unit Quantity	0