Product/procedure | Code | Description | APC | Payment* | Professional component† |
---|---|---|---|---|---|
111In-Ibritumomab tiuxetan plus scan | G0273 | Pre–radiopharmaceutical treatment planning, NHL | 0718 | $2,750 | 2003 physician fee schedule, $45.25 |
90Y-Ibritumomab tiuxetan administration | G0274 | Radiopharmaceutical treatment, NHL | 0725 | $20,000 | 2003 physician fee schedule, $108.88 |