Table of content for "Lutetium lu 177 vipivotide" (HCPCS A9607)
General information on the “A9607” code
HCPCS Code: A9607
Long Description: Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
Short Description: Lutetium lu 177 vipivotide
Original information is taken from A9607 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: 20221001
Code Effective Date: 20221001
Action Code: N – No maintenance for this code