HCPCS A9521
Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Information
- HCPCS Code: A9521
- The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS A9521 identifies the type of service or supply used while any of the 1 NDC codes below could be used to specify the exact drug used.
- Short Description
- Tc99m exametazime
- Long Description
- Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
- Pricing Indicator
- Other carrier priced
- Multiple Pricing Indicator
- Not applicable as HCPCS priced under one methodology
- Coverage Description
- Carrier judgment
- BETOS Type of Service
- Standard imaging - nuclear medicine
- HCPCS Classification
- List of HCPCS codes for: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental (A-codes)
HCPCS Crossover to NDC Codes
The NDC codes below allow precise billing based on the specific manufacturer and medication used:
| NDC | Proprietary Name | Non-Proprietary Name | Dosage Form | Route Name | Company Name | Status | |
|---|---|---|---|---|---|---|---|
| 65174-200 | Drax Exametazime | Kit For The Preparation Of Technetium Tc 99m Exametazime For Leukocyte Labeling | Injection, Powder, Lyophilized, For Solution | Intravenous | Jubilant Draximage Inc., Dba Jubilant Radiopharma | ACTIVE |
