HCPCS C9156 Code. Flotufolastat f18, dia 1 mci


Table of content for "Flotufolastat f18, dia 1 mci" (HCPCS C9156)

General information on the “C9156” code

HCPCS Code: C9156
Long Description: Flotufolastat f 18, diagnostic, 1 millicurie
Short Description: Flotufolastat f18, dia 1 mci

Original information is taken from C9156 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


Statute Number: 1833(t)

Coverage

Coverage: D – Special coverage instructions apply

Type of service


Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20231001
Code Effective Date: 20240101
Termination Date: 20231231
Action Code: N – No maintenance for this code