A9517 HCPCS - IODINE I-131 SODIUM IODIDE CAPSULE(S), THERAPEUTIC, PER MILLICURIE

Code Information

HCPCS Code: A9517

Sequence Number: 0010

Short Description: I131 iodide cap, rx

Long Description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie

Code Added Date: 1/1/2003

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2006

Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: I1E - Standard imaging - nuclear medicine
Type Of Service Code:
  • 6 - Therapeutic radiology

Billing Information

Pricing Indicator Code:
  • 57 - Other carrier priced
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code A9517
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
      HCPCS Short Description I131 iodide cap, rx
      HCPCS Pricing Indicator Code 1 57 - Other carrier priced
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code I1E - Standard imaging - nuclear medicine
      HCPCS Type Of Service Code 1 6 - Therapeutic radiology
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2003
      HCPCS Action Effective Date 1/1/2006
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018