Table of content for "Copper cu-64, dotatate, dx" (HCPCS C9068)
General information on the “C9068” code
HCPCS Code: C9068
Long Description: Copper cu-64, dotatate, diagnostic, 1 millicurie
Short Description: Copper cu-64, dotatate, dx
Original information is taken from C9068 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Statute Number: 1833(T)
Cross Reference Code 1: A9592 ;
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): I1E – Standard imaging - nuclear medicine
Type Of Service 1: 4 – Diagnostic radiology
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20210101
Code Effective Date: 20210401
Termination Date: 20210331
Action Code: N – No maintenance for this code