HCPCS A9607

Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie

HCPCS Information

HCPCS Code: A9607
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 A9607 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
Lutetium lu 177 vipivotide
Long Description
Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
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
69488-010Pluvicto Lutetium Lu 177 Vipivotide TetraxetanInjection, SolutionIntravenousAdvanced Accelerator Applications Usa, IncACTIVE