A9542 – Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries

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

Active code Carrier judgment

HCPCS codeA9542
Long description
Indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries
Short description
In111 ibritumomab, dx
Pricing indicator
51 Drugs
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
I1E Standard imaging - nuclear medicine
ASC
Approved for ambulatory surgical centers
Added
January 1, 2006
Last change
January 1, 2025 – No change

Frequently asked questions

What is HCPCS code A9542?

A9542 is a HCPCS Level II code for indium in-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries.

Does Medicare cover A9542?

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

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