A9513 – Lutetium lu 177, dotatate, therapeutic, 1 millicurie

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Special coverage instructions apply

HCPCS codeA9513
Long description
Lutetium lu 177, dotatate, therapeutic, 1 millicurie
Short description
Lutetium lu 177 dotatat ther
Pricing indicator
57 Other carrier priced
Medicare coverage
D Special coverage instructions apply
BETOS category
I1E Standard imaging - nuclear medicine
ASC
Approved for ambulatory surgical centers
Added
January 1, 2019
Last change
January 1, 2025 – No change

Frequently asked questions

What is HCPCS code A9513?

A9513 is a HCPCS Level II code for lutetium lu 177, dotatate, therapeutic, 1 millicurie.

Does Medicare cover A9513?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby A codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.