Table of content for "Iodine i-123 sod iodide mic" (HCPCS A9516)
General information on the “A9516” code
HCPCS Code: A9516
Long Description: Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
Short Description: Iodine i-123 sod iodide mic
Original information is taken from A9516 page
Pricing indicators
Pricing Indicator Code 1: 57 – Other carrier priced
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20080101
Action Code: N – No maintenance for this code