2024 HCPCS Code C9031

Lutetium lu 177, dotatate, therapeutic, 1 mci

Notice	HCPCS C9031 terminated on December 31, 2018.
Short Description	Lutetium lu 177 dotatate, tx
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2019
HCPCS Code Added Date	July 01, 2018
HCPCS Pricing Indicator Code	53 - Statute
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	9 - Other medical items or services
HCPCS Anesthesia Base Unit Quantity	0