Table of content for "I125 iothalamate, dx" (HCPCS A9554)
General information on the “A9554” code
HCPCS Code: A9554
Long Description: Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
Short Description: I125 iothalamate, dx
Original information is taken from A9554 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
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: 20060101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code