HCPCS code A9603 — Inj, pafolacianine, 0.1 mg. Status: Active. Effective Oct 1, 2023. Source: CMS HCPCS Level II.

A9603

Active

Inj, pafolacianine, 0.1 mg

Injection, pafolacianine, 0.1 mg

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Oct 1, 2023
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A9603 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 64
Practitioner Services 64

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2023-Q4
    Inj, pafolacianine, 0.1 mg