A4642 – Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4642
- Long description
- Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
- Short description
- In111 satumomab
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
I1EStandard imaging - nuclear medicine- Added
- January 1, 1995
- Last change
- January 1, 2006 – No change
Frequently asked questions
What is HCPCS code A4642?
A4642 is a HCPCS Level II code for indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries.
Does Medicare cover A4642?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
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- A4635 – Underarm pad, crutch, replacement, each
- A4636 – Replacement, handgrip, cane, crutch, or walker, each
- A4637 – Replacement, tip, cane, crutch, walker, each.
- A4638 – Replacement battery for patient-owned ear pulse generator, each
- A4639 – Replacement pad for infrared heating pad system, each
- A4640 – Replacement pad for use with medically necessary alternating pressure pad owned by patient
- A4641 – Radiopharmaceutical, diagnostic, not otherwise classified
- A4648 – Tissue marker, implantable, any type, each
- A4649 – Surgical supply; miscellaneous
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- A4651 – Calibrated microcapillary tube, each
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- A4660 – Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.