HCPCS Code Details - A9604

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A9604
Description

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

Short description:
Sm 153 lexidronam

HCPCS Modifier1
HCPCS Pricing indicator 57 - Other carrier priced
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code I1E - Standard imaging - nuclear medicine
HCPCS Action code N - No maintenance for this code
Type of service 6 - Therapeutic radiology
Effective date Effective Jan 01, 2010
Date added Added Jan 01, 2010
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS A9600 · Strontium sr-89 chloride, therapeutic, per millicurie

  • HCPCS A9606 · Radium ra-223 dichloride, therapeutic, per microcurie


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”