Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
A9516 |
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-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries |
HCPCS Short Description |
Iodine i-123 sod iodide mic |
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 |
4 - Diagnostic radiology |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/2003 |
HCPCS Action Effective Date |
1/1/2008 |
HCPCS Action Code |
N - No maintenance for this code |