Private Payer Coding for 2003
| Product/procedure | Code | Description | Payment |
|---|---|---|---|
| 111In | A9522 | 111In-Ibritumomab tiuxetan | % of AWP or invoice |
| Imaging | 78802 | Radiopharmaceutical localization of tumor, whole body | Fee schedule, contracted rate, % of charge |
| 90Y-Ibritumomab tiuxetan administration | A9523 | 90Y-Ibritumomab tiuxetan per mCi based on 40 mCi/dose | % of AWP or invoice |
| Yttrium administration | 79400 | Radiopharmaceutical therapy, nonthyroid, nonhematologic | Fee schedule, contracted rate, % of charge |
AWP = average wholesale price.