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A9604 - HCPCS Level II | Verity

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HCPCS Level IIsuppliesActive

A9604

Sm 153 lexidronam

BETOS: I1E

Effective: 2025-01-01

Description

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

Medicare Fee Schedule

2026 Medicare Physician Fee Schedule national payment rates

Statutory Exclusion

This code has a statutory exclusion from Medicare coverage.

Coverage Policies

No coverage policies currently reference this code

This code is not currently listed in any LCD or NCD coverage policies in our database.

About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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