A9527 HCPCS - IODINE I-125, SODIUM IODIDE SOLUTION, THERAPEUTIC, PER MILLICURIE

Code Information

HCPCS Code: A9527
Sequence Number: 0010
Short Description: Iodine i-125 sodium iodide
Long Description: Iodine i-125, sodium iodide solution, therapeutic, per millicurie
Date Added: 1/1/2007
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2007
Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
Coding System: HCPCS

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
ASC Payment Group Effective Date: 1/1/2008

Field Name	Field Value
Healthcare Common Procedure Coding System Code	A9527
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-125, sodium iodide solution, therapeutic, per millicurie
HCPCS Short Description	Iodine i-125 sodium iodide
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 ASC Payment Group Code	YY
HCPCS ASC Payment Group Effective Date	1/1/2008
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	1/1/2007
HCPCS Action Effective Date	1/1/2007
HCPCS Action Code	N - No maintenance for this code