Table of content for "Florbetaben f18" (HCPCS C9458)
General information on the “C9458” code
HCPCS Code: C9458
Long Description: Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
Short Description: Florbetaben f18
Original information is taken from C9458 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: Q9983 ;
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
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: 20160101
Code Effective Date: 20160701
Termination Date: 20160630
Action Code: N – No maintenance for this code