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Lutetium lu 177, dotatate, therapeutic, 1 millicurie

HCPCS code

Medical Policies and Guidelines for Lutetium lu 177, dotatate, therapeutic, 1 millicurie

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Radioimmunotherapy and Somatostatin Receptor Targeted Radiotherapy

Similar Codes


ICD10CM codes

Z51.0 - Encounter for antineoplastic radiation therapy
Z77.012 - Contact with and (suspected) exposure to uranium
W88.1 - Exposure to radioactive isotopes
Z51.11 - Encounter for antineoplastic chemotherapy
Z18.0 - Retained radioactive fragments
Z51.81 - Encounter for therapeutic drug level monitoring
Y78.1 - Therapeutic (nonsurgical) and rehabilitative radiological devices associated with adverse incidents
L57.1 - Actinic reticuloid
Z18.01 - Retained depleted uranium fragments
Z51.1 - Encounter for antineoplastic chemotherapy and immunotherapy

HCPCS codes

A9513 - Lutetium lu 177, dotatate, therapeutic, 1 millicurie
A9587 - Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
A9512 - Technetium tc-99m pertechnetate, diagnostic, per millicurie
A9505 - Thallium tl-201 thallous chloride, diagnostic, per millicurie
A9562 - Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
A9557 - Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
A9520 - Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
A9521 - Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
A9539 - Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
A9606 - Radium ra-223 dichloride, therapeutic, per microcurie

CPT4 codes

79101 - Radiopharmaceutical therapy, by intravenous administration
79005 - Radiopharmaceutical therapy, by oral administration
82397 - Chemiluminescent assay
77750 - Infusion or instillation of radioelement solution (includes 3-month follow-up care)
77407 - Radiation treatment delivery, >/=1 MeV; intermediate
77370 - Special medical radiation physics consultation
77331 - Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physicia
78999 - Unlisted miscellaneous procedure, diagnostic nuclear medicine
76965 - Ultrasonic guidance for interstitial radioelement application
77399 - Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services