Table of content for "I131 tositumomab, rx" (HCPCS A9545)
General information on the “A9545” code
HCPCS Code: A9545
Long Description: Iodine i-131 tositumomab, therapeutic, per treatment dose
Short Description: I131 tositumomab, rx
Original information is taken from A9545 page
Pricing indicators
Pricing Indicator Code 1: 57 – Other carrier priced
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: 6 – Therapeutic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20060101
Code Effective Date: 20170101
Termination Date: 20161231
Action Code: N – No maintenance for this code