HCPCS code A9604 — Sm 153 lexidronam. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

A9604

Active

Sm 153 lexidronam

Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: K — Non-pass-through drugs and biologicals
OPPS APC: 1295

MUE — Medically Unlikely Edits

Maximum units of A9604 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

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 2025-Q1
    Sm 153 lexidronam