Table of content for "I131 iodide cap, rx" (HCPCS A9517)
General information on the “A9517” code
HCPCS Code: A9517
Long Description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
Short Description: I131 iodide cap, rx
Original information is taken from A9517 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: 6 – Therapeutic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code