A9604 — Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
1 Active Policy
CARELON-therapeutic-radiopharmaceuticals-2025-03-23 — Therapeutic Radiopharmaceuticals
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.