Table of content for "Gallium ga-68 psma-11, ucla" (HCPCS A9594)
General information on the “A9594” code
HCPCS Code: A9594
Long Description: Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie
Short Description: Gallium ga-68 psma-11, ucla
Original information is taken from A9594 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: 20210701
Code Effective Date: 20240701
Action Code: N – No maintenance for this code