HCPCS code A4642 — In111 satumomab.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
A4642
ActiveIn111 satumomab
Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A4642 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits