2021/2022 HCPCS Code A4642

Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Short Description In111 satumomab
HCPCS Coverage Code C = Carrier judgment
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2006
HCPCS Code Added Date January 01, 1995
HCPCS Pricing Indicator Code 51 = Drugs
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Type Of Service Code 4 = Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity 0