2024 HCPCS Code A9604

Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries

Short Description	Sm 153 lexidronam
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2010
HCPCS Code Added Date	January 01, 2010
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