Table of content for "In111 satumomab" (HCPCS A4642)
General information on the “A4642” code
HCPCS Code: A4642
Long Description: Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Short Description: In111 satumomab
Original information is taken from A4642 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19950101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code