- Short DescriptionLutetium lu 177 dotatat ther
- HCPCS Coverage CodeD = Special coverage instructions apply
- HCPCS Action CodeP = Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)
- HCPCS Action Effective DateJan 01, 2024
- HCPCS Code Added DateJan 01, 2019
- HCPCS Pricing Indicator Code57 = Other carrier priced
- HCPCS Multiple Pricing Indicator CodeA = Not applicable as HCPCS priced under one methodology
- HCPCS Cross Reference Code
- HCPCS Type Of Service Code6
- HCPCS Anesthesia Base Unit Quantity