A9604 – Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries

Long description

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

Short description

Sm 153 lexidronam

Pricing indicator

57 Other carrier priced

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, 2010

Last change

January 1, 2025 – No change

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